845B OCR Certs fwb 92

20 Bellview Place Chicago; Alvan Stewart for Gov; Bridgewater NY; Burgess; Chas 0 Shepard Lt ; Cull; Curtiss; Dixon; Epping; Hockney; Horace Butrick; Hotz Brighton Clerk; Johnson; L E Lamb ; McWhinney; Munson; Normandy Lace; Orvis; R F Roberts; Racine County Ag School; Salem Methodist Organ; Salem Mutual Insurance; Sheen; Smith.

180820163

unknown

SOS 845B OCR Certs fwb 92.pdf

Linda Valentine Snippets

Copyright undetermined

text

eng

Cities and towns

Villages

Midwest

Kenosha County, Wisconsin

Salem, Wisconsin

Salem Lakes, Wisconsin

Racine, Wisconsin

PDF

Valentine
SNIPPETS of SALEM
845 - Miscellaneous Area
Certificates
Insurances, Town etc
These items are in sequence by
date.
The keywords in this booklet include:
20
Bellview
Place
Chicago
Alvan Stewart for Gov
Bridgewater NY
Burgess
Chas 0 Shepard Lt
Gov
Cull
Cull
Curtiss
Curtiss
Dixon
Epping

Highway
Hackney
Horace Butrick
Hotz Brighton Clerk
1924
Hurd
Insurance
Johnson
L E Lamb
Ligtning Rod
McWhinney
Munson
Normandy Lace

Old Settlers
Orvis
R F Roberts
Racine County Ag
School
Salem
Methodist
Organ
Salem
Mutual
Insurance
Sheen
Smith
Taxes
Town

0-200apx pages
Notes:
The original documents have been scanned to create this PDF.
There is no photocopied booklet to backup this PDF series.
This material is from the Fred Wesley Brown FWB Collection and resides with him.
The materials herein were contributed by those of the area who wished that the history
they have experienced be saved for the future generations. These may represent private
documents as well as previously published articles and obituaries and images from their
saved collections ..
Researchers should also refer to the Valentine Digital archives at the SALEM
COMMUNITY LIBRARY (and perhaps other websites) for more images in this collection
or digital images of items photocopied in this booklet or related to the topic.
Compiled 05/2015 by L S Valentine Copyright©Valentine2015

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PLEASE WRITE THE NAMES AND A D DRESSES PLAINLY,

MR. 0. M . POWERS,
The following is a list of names of young persons of suitable
age to attend a Business College, and who would be interested in receiving your
College literature.
Send me as a Premium, .No.
Yours truly,
~

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Address of Sender.................................................................................... ..
IF ANY OF THE BELOW NAMED PERSONS ARE INTENDING
ENTER A BUSINESS COLLEGE SOON, PLEASE MARK THE

TO

NAME

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( 24.)

UNITED

STA~~ES

INTER_NAL REVENUE .

.ANNU .AL

TAXES~

1866.

By the ~leventh section of the act of June 30, 1864, it is made the duty of any person made liable to annual tax, on or before the first
Monday of May in euch year, to make a list or return to the assistant assessor of the district where l?cated, of the articles charged with special
duty or tax, including income anJ articles in Schedule A .
Every person failing to make such return by the day specified will be liable to be assessed by the assistant assessor according to the best
information which he can obtain; and in such case the assistant assessor will add twenty-five per cent. to the amount of the tax.
In case any per~on shall deliver to an assessor any false or fraudulent list or statement, with intent to defeat or evade the valuation or
enumeration required by law, the assistant assessor will add one hundred per cent. to such duty; and in such case the list will be made out by
the assessor or assistant assessor, and from the valuation and enumeration so made there can be no appeal.
The assessment list, when completed, will be returned to the collector, who will advertise in so"me public newspaper published in each county
within the district, "if any there be, and by written or printed notices to be posted up in at least four public places within each assessment clistri~t,
that the said duties have become due and payable, and state the time and place within said county at which he will attend to receive the same;"
and to any sum unpaid after the thirtieth day of June, aBd for ten days after demand, there will be an addition of ten per cent. as a penalty for
such neglect.
Guardians· and . trustees, whether such trustess are so by virtue· of their office as executor, administrator, or other fiduciary capacity, are
required to make returns of the income belonging to minors, or other persons for whom they act as guardians or trustees, and the income tax will
be assessed upon the amount returned, after deducting such sum~ as are exempted by law; pro'Dided that the exemption of six hundred dollars shall,
not be allowed on account of any minor or other beneficiary of a trust except upon the statement of the guardian or trustee made 4aor oath that
the minor or beneficiary has no other income from which the said amount of six hundred dollars may be exempted and deducted.
·when coupons of United States bonds, or gold received for them, are sold within the year, the amount of legal tender currency received
therefor should be returned as income under paragraph 9.
'Vhen any person has gold, or coupons payable in gold, on hand at the close of the year, its value should be returned at the value of gold at
the close of the year.
This value in New York was 145.
Articles embraced in Schedule A must be returned in the list printed on this sheet.
The followinji table may be used for converting Avoirdupois into Troy ounces:

10 ounces Avoirdupois equal 9 ounces Troy.
"
"
" 19
40
" 37 "
II
46
50

20

GO ounces Avoirdupois equal 55 ounces Troy.

70

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80

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90

10

64

"

73

"

82

"

"

100 ounces Avoirdupois equal 91 ounces Troy.
" 182 "
200
"
"
"
500
456
"
"
1000
912
"

Where any articles named in Schedule A are owned, possessed, or kept by a partnership, firm, association, or corporation, they must be
returned to the assistant assessor of the district in which sach partnership, firm, association, or corporation has its office or principal place of
business.
When such articles are held by an individual, the return will be made in the district in which he or she resides. ·

Assessors sllould ask tile Collowing Q.uestions:
Had your vrife any income last year 7
Did any minor child of yours receive any salary last yearT
Ibve yon included in this return the income of your wife, and salary received by minor children!
Have you any stocks, and what are they7
Have you bought or sold stocks or other property 7
Have you any United States securities?
Have you kept any book account 7
Is your income estimated, or taken from your book 1
Have not the expenses, &c. , elaimed as deductions, already been taken .out of the amount reported as profits?
Did you estimate any portion of your profits in making your return for 1863 or 1864 7
Was any portion treated as worthless, and, if since paid, have you include.d it in this return?

"

•

~daihb ~htftmenf of Income, Gains, and PrQ/its o/
and Strrte o(

of_ . ....... ·····--·---------··-······- ...... , County

during the year 1865, and if Can·iages, g-c., ~·c., owned or kept by him, lllay ( 1866.
II GROSS PROFITS.

~::~

profits in any trade, business, or vocation, from which income is actually derived, or an;- II
interest therein wherever carried on ............................................... __ ...... .

r::~-

"Proper Deductions.

J

·-··---

INCOME.

-~---II

Rent of store, shop, manufactory, &c ....•..............
Insurance upon ...................... ............. .... .

~

3d. Freight and expressage ............................... .

1 4th. Wages of employees....................... , .. _...... .
l 5th. Other expenses .............. ............ ... - .. ....... .

1- - -1- -

Total deductions ............. _
Income ................. .
RECEIPTS.
2. From rents of lauds ............................. _-_ .......................................... .

SRepairs of fences, not exceeding the averag~

Proper Deductions

_

paid out for such purposes for the

~:~::i_n_~ ~~~. :~~~~·- ~~~- ~~-t- ~~~:~~~~~ _~~-~~~~s- :~~~ -~o~- :~~~-~~~~~ ~~p-r~~-e:.

.l

11--- -

Income ................. .
3. From rents of buildings .................................................................... ..
of, not exceeding the average paid out for such
r1st. Repairs
purposes for the preceding five years, and not including

Proper Deductions. )

amounts paid for permanent improvements thereon .•••..

l 2d.

Insurance upon, pa1d by owner ........................ _

1----1--

\

Total deductions ............ ..
Income ................. .

4. From farming opemtions.-Value of live stock sold .......................... ..

Value of agricultural products sold ......................................... ..

1--Total receipts from farming operations as by above ............ .
1st. Amount paid for hired labor.......................... ..

r
Proper Deductions.

I

2d. Repairs upon farm or plantation not exceeding the average
paid out for such purposes for the preceding five years,
and not including amounts paid for permanent improvements ................... -··- ............ ----·--- ... .
:;d. Amount paid for the live stock which was sold within the
year .............. : ................................ .

l

4th. Insurance upon buildings ........ : ............... ~ .... .

5th. Interest on incumbrances upon lands and buildings ..... .

1--Total deductions .. .... ....... .

-·!

Income ................. .

5. From profits realized by sales of real estate purchased within the year for which income is estimated. , . _. _....•... .••..
6. From interest on any bonds or other evidences of indebtedness of any railroad, canal, turnpike, canal navigation, or slackwater company .................................... _......................... _........ _...................... .
7. From interest or divid{'nds on stock, capite!, or deposits in any bank, trust company, savings institution, insurance,
railroad, canal, tur;Jpike, canal navigation, or slackwater company ........ _..... _.............. _.......... .•• .....
8. From dividends of any incorporated company other than those above mentioned ......... _.. _........................ .

9. From interest on United StP.tes bonds or Treasury notes ........................................ ·................. _..
10. From interest on notes, bonds, mortgages, or sccu.rities other th11n those enumerated above _............•......••.. ___ ..
11. From gains and profits of nny incorpomte.d

r amprmy not dh·i,Jed .. -· ---- ·--· •• ·· ···••· ··.---- .............._. ••·
t

--·· ·-~r-·

'

Amount of income carried forward- -- • -- · -- · : · • -- • · -- -- .... · · ..

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1- - -

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Amount of income brought forward ....................... , ........... .
12. From the payment of debts in a former year considered lost, and which have not paid a previous
income tax ....•..••••........••....•.....•.••........•....................................
13. From salary other than as an officer or employee of the United States ............................ .
14. From salary or pay as an officer or employee of the United States .............•.•................
15. From profits on sales of gold or stocks, whenever purchased ....•.......... ......................
16. From all sources not above, enumerated ...••..........•.•.....••...................••••..••••.
Gross income., ••••..••...••••.........•••..••••.
DEDUCTIONS.

r

1st.

Lf:~~~i~~t~dl~~ _~~ ~~~~ -~s-t~~~.:~~~~~~~~ -~~t-~i~ -t~~. :~~~. ~~~ ~~~c~ -i~~-0~~ _

2d. Interest paid out or falling due within the year ......................... ..
1
Supplementary
geductions author- ~ 3d. Salaries of officers or payments to persons in the civil, military, naval, or
ized to be made.
other service of the United States, above the rate of $600 per annum ..••••.

I

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4th. National, State,

an~

local taxes paid within the year ...... .............. . .

5th. Amount actually pa1d for rent of homestead ... ... ...................... ..
II

I

Total supplementary deductions .................. ........ ..
- - - - - · - - -11 = = = = 1

Net income ................ ..
Exempt_ by law ............................... - -.. . .. .. .. . • .. .. .. .. .. .. .... - .................. ..

$600 I

oo

TAX.

Amount in excess of $600, and not exceeding $5,000, subject to 5 per cent ..............._. ......... . .

..

..

5,000, subject to 10 per cent..··-- --- --_- ---- · • • · -------- -- .... -- .... ---- ..

··--II

I

I

Total tax .................. ..
Deduct amount of tax withheld by institutions enumerated in paragraphs 6 and 7 .......•......•...•••........••••...•••.

11- - - - --

Amount tax due .................. ..

CARRIAGES, GOLD WATCHES, PIANOFORTES, ORGANS, MELODEONS, YACHTS, BILLIARD TABLES,
GOLD AND SILVER PLATE.

•

SCHEDULE A-SECTION 100-ACT JUNE 30, 1864.
No.

TAXABLE ARTICLES.

RATE. II AMOUNT

Carriage, gig, chaise, phrnton, wagon, buggy wagon, carryall, rockaway, or other like carriage, and
any coach, hackney coach, omnibus, or four-wheeled carriage, the body of which rests upon springs
of any description, which is kept for use, for hire, or for passimgers, and which ·is not used exclusively in husbandry or in the transportation of merchandise, valued at fifty dolbrs and not
exceeding one hundred dollars, including harness used therewit~ ... _..........................,. .

$1 00

Carriages of like description valued at above one hundred dollars an<l not above two hun<lred dollars..

2 00

Carriages of like description valued at two hundred dollars and not above three hun<lrcd dollars. . . . . . .

3 00

Carriages of like description valued at above three hundred dollars and not above five hun<lred dollars..

6 00

Carriages of like description val:,& t above five hundred dollars .. _•.... ••......... .... ...••....•• _. J 0 00
Gold watches, composed w holl19' in part of gold or gilt, kept for use, valued at one hundred
dollars or less ........................ __ ................ __ .. .. .. .. . .. . .. .. .. .. . . .. . . .. . . .. . .
1 00
Gold watches, composed wholly or in part of gold or gilt, kept for use, valued at above one hundred
dollars ................................ ____ .................. ------ ........... ____ ..........
2 00
Pianofortes, organs, melodeons, or other parlor musical instruments kept for use, not inclu<ling those
placed in churches or public edifices, valued at not less than one hundred dollars and not above
two hundred dollars .................... __ ................................................... I 2 00
Valued at above two hundred dollars and not above four hundred dollars ..... .... .................... I

4 00

Valued at above four hundred dollars ..................... --- ---- ........ -- .... -- - -- .. -- -- .. -- -- --~
' Yachts, pleasure or racing boats, by sail or steam, measuring, by custom-house measurement, ten tons
or less .................... ---- ...................... ----........................... . ........

6 00
5 00

Exceeding ten and not exceeding twenty tons.. .. .. .. .. .. .. .. . .. .. . .. .. .. .. .. .. .. . .. .. . . .. .. .. .. ..

10 00

Exceeding twenty and not exceeding forty tons .... ·- -.... .. .. .. .. . • • • . • .. .. .. .. .. .. .. .. .. .. .. .. .. ..

25 00

Exceeding forty and not exceeding eighty tons...... . .. • .. .. .. .. . • .. .. .. .. .. .. . • • . . • .. .. • .. . . • .. • .

50 00

Exceeding eighty tons and not exceeding one hundred and ten tons.... .. • • • • .. . . .. • • • . .. .. .. .. .. . • ..

75 00

•

Exceeding one hundred and ten tons .......................... -- .................. , ............... 100 00
Biliiard tables kept for use, and not licensed.......... .. .. .. .. .. . .. . .. .. .. .. .. .. .. .. .. . .. .. . .. .. ..

10 00

Oz. plate of gold, kept for use, per ounce troy.... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

50

Oz. plate of silver, kept for use, per ounce troy, exceeding ,10 ounces, used by one fumily ...... . . . . . . . .

05

•
OF TAX.

ST.A.T:::NTY OF ---------·--·-------·------------------------

}88.

------------, being sworn according to law, deposes and says, that the
within statement contains a full, true, particular, and correct account of his income for the year A. D. 1865, which he has received, whether
derived from any kind of property, rents, interest, dividends, or salary, or from any profession, trade, employment, or vocation, or from any
other source whatever, from the first day of January to the thirty-first day of December, A. D. 18G5, both days inclusive, and subject to an
incomll tax under the excise laws of the United States; and that he has not received, and is not entitled to receive, from any or all sources of
income together, any other sum for tho said year besides what is herein set forth in detail, except such amounts as, though justly due to th9
affiant, are not good and collectible; and that he is honestly and truly entitled to make the deductions from his income for said year a.s,specifically
stated in detail, in accordance with the true intent of the excise laws of the United States; that the statement of the number or weight and value
of the articles enumerated in schedule A of the act of June 30, 1864, owned, possessed, or kept by him, or of which he had the care or management,
on the fimt'day of May, A. D.1866, is also just and true~ and that the several rates and amounts therein contained are stated in legal tender currency.

'
Sworn and subscribed. this -·--·--·--·------·-·······-······-···· day of ..............................................................· A. D. 18G6, before me.

Assistant Assessor

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CERTIFICATE OF APPLICATION.

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Insurance f'or . .

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Application

$ fJ...(!_ '(Jj·

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made

and paid, by Note due, ..

EDWIN HILLYER, State Agent at Vlaupun,

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day

and paid Cash Premium,.

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upon property specified in said Applieation, to the amount of

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SECURiTY INSURANCE COMPANY, OF NEW YORK CITY, FOR INSURANCE

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issued

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and forw-arded by mail, or otherw-ise.

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If approved,

date.
~Nis.,

Policy w-ill

be

approved, the money to be refunded.

Dal~d,,/t./<H<

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.... Solicitor.

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'·

From
ED'WIN HILLYER, Sttii:e Agent,
'Waupun, 'Wis. 1

From
IN HILLYER, State Agent,
VVaupun, 'W"ie.

THE SECURITY INSURANCE COMPANY
OF THE CITY - OF NEW YORK.

CASH CAPITAL, ONE MILLION DOLLARS.
Insures against loss _ or damage by FIRE, and the dangers of OCEAN and INLAND NAVIGATION
and TRANSPORTA'.riON. upon terms as favorable as the nature ofthe risk -w-ill permit.
THOS, VV. BIRDSALL, President,
EVERETT CLAPP, Vice President.

R. L. HAY DOCK, !Secretary.

DIRECTORS:
JOHN ALLEN ...... .............. ..... c............. ..Formerly Hopkins, Allen & Co.
GEORGE H. BEYER, ...... .. ....... .. ............................ .. ...... .Flour Merchant.
HENRY BARROW .............. .............. .................. of Henry Barrow & Co.
RICHARD P . BRUFF, ............ .. ... ............. ............... Hardware M erchant.
WM. ALLEN BUTLER,................. ............. of Barney, Butler & Parsons.
ROBERT BOWNE ........ .. -·· ·········-- ---····· ·············· ············· --of Bowne & Co.
SAMUEL D BABCOCK, ............................. .......... of Babcock Bros. & Co.
THOMAS W. BIRDSALL, ..................._. .... ....... ...... .._. ....... ,._. ........ President.
ROBERT L. CASE ........... ........... President Secunty Life _I nsurance Co.
EDWARD CROMWELL, ....................................... CommissiOn Merchant.
EDWIN W. CORLIES, .......................................... of John Caswell & Co.
DANIEL CROMWELL, JR., .......... ........... ............... of Tn&g & Cromwell.
WILLIAM DENNISTOUN, ......... ................ ................. R etn:ed Merchant.
ANTHONY P. FRANCIA, ................ .......... .............. ... .. of Gn·'? & Francm.
GEORGE B. GRINNELL, ........................... ...late Morton, Grmnell & Co.
WILLIAM GRAYDON~.............................. .late William Graydon & Co.
JOHN ,V, GRAYDON ................ ... ....._. ..... .late Graydon, SwanwlCk & Co.
EDWARD HAIGHT, ... ...... ......... President Bank of the Commonwealth.

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WILLIAM H. HUSSEY, ... ......... ........ ....... .. ......... Commission Merchant.
JOHN HALSEY ,:;·····························- .................. .of Haight, Halsey & Co.
JOSEPH LAWR,;NCE, .................. ...... President United States Trust Co.
EDWARD MERRITT, ..................................... of Haviland, Merritt & Co.
JOHN C. MARTIN__,_, ........ .......................................... of Martin & Lawson.
ROBERT LINDLEx MURRAY, ......... ............... of Murray & Davis Bros.
ROBERT B. MINTURN, JR., ........ .................of Grinnell, Minturn & Co.
THOMAS J. OWEN_,_ ....... ............. ........................... .... of Owen& Carnegie.
JONATHAN ODELL, .................... ........... .. of Ode~ls & Barnes, Bankers.
WILLIAM PAXSON, ......... .. ............................ of S.C. Paxson's Son ..II Co.
EVERETT CJ,APJ::,_....... ... .......... ............... .................... .. : ....Vice President.
SAMUEL T. V AL,;NTINE, .... .......................... ..... of S. Valentine & Sons.
JOSEPH WALKER, .................................. ......... ........... ........ Ex-President.
JOHN R. WILLIS, ........ .. .... ... ............... ............ of Cornel]_,_ Willis & Carey.
LUTHER B. WYlllAN, ..... .............. .............. of Ch arles J:i. Marsha ll & Co.
EDWARD WOOD, ... ............ ...... ........... .... ............... ...... of M erritt & Wood.
JOHN T. WILLETS, ....... ............................. ....................... of Willets & Co.
F R ANCIS T. W ALKER, ............ .... .. ............ ......... ..of F. T. Walker & Brv,

~

' i
I

THE WESTERN F I RE BRANCH

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Of this Company, located at Chicago, Ill., affords u n equ a lled facilities for the prompt adjustment and pay·
ment of claims, -w-ithout reference in any c a se to the Ne-w- York office.
I t thus presents all the advantages
of a Local Insurance Company, -w-ith the superiority of a much larger c a sh capital .

PARTICULAR ATTENTION IS GIVEN TO THE INSURANCE OF BUILDINGS, DWELLINGS AND CONTENTS, MERCHANDISE, RENTS AND LEASES.

J . R. PAYSON, General Agent,
Office, South side of the Court House Square, in Smi th & Nixon's Building, Chica go, Ill.

·'

~ This Policy is not assignable for purposes of collateral security, but in all such cases it is to be made " P ayable in case of loss, to"
etc., by endorsement on its face. In case of actual sale or transfer of title, leave being previously obtained, the form subjoined may be used,
which must be executed at the time of said transfer.

THE SECURITY INSURANCE COMPANY
of __

hereby consent that the interest

_____ __________ __________ ___:_____ ____ ................. in the -w-ithin Policy, subject -l;o all the terms and

conditions therein mentioned and referred to, b., a ssign e d to ___ _
- - - - -------------------186

hereby transfer, assign and set over unto
and

assigns, all

title and interest in this Policy, and all advantage to be derived therefrom,

subject to all the terms and conditions therein mentioned and referred to.
Witness

hand

and seal

this ____ -------···················-- day of ...

.186

Sealed and delivered in presence of

_ __ _ ___

Insured.

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('iv ~ _%,_~_ ;rt?>---~tl__/h_~/_'11J~-- @;/.>~-- ______ ----~-- _________ ---·- " ~---- _____ _ ___________ -------------~----· - - ---(.--- /~- - ~ - - - - ---==--- ~ --=-~-=--===-- - -------:- ---=---- ~ . ------- ~ ~·-~~--~-~AI fl;}AJll~rb/7' 1/A/.P}~ §" ~fl/lt 1/Jl/iJ.J•JIIAJflUE' llJJY J/r~lflfl]J!.J: ~i!!TB!HSi/1
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[THIS FOR~! IS FOR FARM PROPERTY AND DWELLINGS (OR CONTENTS) ONLY.]

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For a more particular description, reference is had to thypplication and Survey, No. ~

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The above described property being located in the Town of
State of

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, Block N o.

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, Lot No.

c3 / , on the files of this Company, which is hereby made a part of this Policy.

~nd ~Rid =~=;~@rtt to::::~:::!~~~:.~_ ::::,~~tmtorn:::~:,:!~~=" D=-not~oooding

the sum insured, as may oc~ by ~RE c;¢ Lm~G to the property specified, EXCEPT as hereinafter provided, from the..i'~~-1U"r
~
....-.f.•..f!..f~~ijfday offJ:!.:-Ja:.l.f'............... ........ ........186 ..6.. ..
at 12 o'clock, noon, to the-{-:/r:~_1,..... MXf.lf/f{v...... clay of.(" ....!-1.t-L£>................................................. Eighteen Hundred and ..dl2~ .... .~li~ .................. at 12 o'clock, noon, to be paid

being~enanted

4 within six t.y days after due notice and satis;tory proofs of the same ; it
as conditions of this contract, that this Company may repair, restore or re lace the property lost or damaged, on giving notice of such intention,
within thirty days after receipt of proof h er ein required, and that th is Company shall not be liable for loss by theft at or after a fire, nor for loss caused by invasion, insurrection, riot, civil commotion, military or usurped power ; nor
6 for loss caused by explosions of any kind u nless fire ensues, and then for the loss or damage by fire or lightning only, nor for loss or damage caused by r emoval of property from a building, where t here is no loss by fire, unless such
7 removal was necessary to preser ve th e property, in which case the damage shall be borne by both parties, in proportion as the whole su m insured bears to th e whole val ue of the property insur ed; nor for loss or damage ca.used by
neglect to use all pr acticable means to save and preserve the pr operty from damage at and after the fire ; nor for loss or damage to property of any oth er party, unless t he interest of such par ty is stated in this policy; and there can
be no abandonment to the Company of the pr operty i nsured. The assured shall not recover or demand of this Company any greater portion of th e loss or damage than t.he amount hereby insured sh all bear to the whole sum in10 sured on said property. The Company may at any time cancel this P olicy, r eturning the u nexpired premium pro rata, and the assured ma.y cancel by paying custom ary short rates for the expired time.
11
If the assured, in the written or ver bal application for insurance, makes any false or erroneous r epresentation material to the risk, or if ther e is any neglect or deviation from the laws or police r egulations, made to prevent accidents
12 from fire ; or if the premises insured are held upon lease or ar e upon leased ground, or the inter est of the assured is not one of absolute ownership, and the nature of the interest is not clearly defined in writing h ereon ; or if th ere
13 is any attempt on part of the assured to defraud this Company ; or, if the title of the property is t ransferred or changed; or if, without written consent h ereon, there is any prior or subsequ ent insurance, or the P olicy is assigned, or
14 the r isk is incr eased by any means within the control of the assured; th en, aud in every such case, this P olicy shall be void.
15
P ermission is given to use for lights, Gas, Kerosene or Coal Oil, or Durning Fluid.
All persona having n. claim under this Policy shall proceed at once to pu t the proper ty saved in the best order possible, separating the damaged from the undamaged, a.nd shall give immediate written notice to the agent and render a particular
16
17 account thereof, with au affidavit, stating the time, origin and circumstances of the fire; the occupancy of the building insured or containing th e property insured; the whole val ue and ownership of the proper ty insur ed ; th e amount
18 of the loss or damage upon each article; other insurance, if any, and a copy of all Policies; if r equired, shall produce books of account and other proper vouchers, and be examined under oath touching all questions relating to the claim,
19 and sh all subscr ibe to the same: and until such proofs (duly at tested by affidavit of claimant , and also by affidavit of two disinterested and r espectable men, who are are acquainted with the premises insured and the claimant, and by
20 certificate of near est magistr ate, that the stat~ments are true,) are r endered, the loss shall not become payable; in no case shall the claim be for a greater su m than the actual damage or cash value at th e time of the fire; assignors, unless
21 the assignee owns th e property, must prove claims to be valid ; if differ ences of opinion should arise between the parties h er eto, as to the amount of loss or damage upon property partially damaged, the subject shall be r eferred to two
22 disinter ested and competent men, each par ty t o select one, (and iu case of disagr eement, th ey to select a third,) who shall, under oath, ascer tain, estimate and appraise such partial loss or damage upon each article separ ately ; and
23 their award, in writing, shall be binding on the parties hereto, each par ty paying one-half th e expense of r eference.
This Policy does not entitle the holder to participate in the profits of the Company, unless otherwise endorsed h ereon in writing.
24
25
It is expressly covenanted by th e pa.rtiei:5 h er eto, that no suit or action against th e Company for the recovery of a~y claim under or by virtue of this Policy, shall be sustained in any court of la w or chancery, unless commenced
26 within the term of one year next after any claim shall occur ; and in case such suit or action shall be commenced against the Compan y after the end of one year next after such loss or damage shall have occurred, the lapse of time
27 sh all be taken and admitted as conclusive evidence against the validity of the claim ther eby attempted to b~ enforced, any statute of limitations to th e contrary notwithstan~ing.
N. B.- Books of Account, Securities for Money, E vidences of Debt, Notes, Bullion, Bills, Watches, Plate, Fur niture, Money, J ewels, J ewelry, Pr ecious Stones, Medals, Paintings, Engravings, P atterns, Casts, Models, Sculptures,
28
29 Statuary, Curiosities, Musical or Scientific Instruments, are not insured, unless particularly mentioned in th e Policy.
I f a note is given for the pr emium, or any portion t hereof, and said note is not paid at matur ity, according to i ts terms, this P olicy shall be void so long as the same remains unpaid, unless payment has been duly extended by
30
31 consent of this Company.
32
No contract for Insurance shall be binding until the actual payment of the premium has been made.
This Policy is m ade and accepted upou th e above express conditions, but shall not be valid until count ersigned by EDWIN HILLYER, t he duly authorized Stat e Agent of the Company, at W A U PUN , WISCONSIN.
33

In Witness Whereof,

THE SECURITY INSURANCE COMPANY have caused these presents to be signed by their P r esident, and attested by their Secretary, in the City of New York.

ATTESTED.

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Countersigned at ... ,..

~~ Pro.Udent.

~~ Secretary.
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[THIS FORU I S FOR FARM PROPERTY AND DWELLINGS (OR CONTENTS) ONLY,]

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The above de~A~rlb d property being located in the Town of
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State of
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on

Street, No.

For a more particular description, reference is had to the application and Survey, No._

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County of /£1~ / (' ,-"' ,t/A.>~_.

jJ_ 2__ , Range o:!;)

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Block No.

, on the fi. les. of this Company,

, Lot No.

~hich is hereby m_ade a _part of this Polifl.

£,. o

~U~ ~~ld :;:~; ~;;;~; ~Uftt to~:::~ :.:~;:=~:=~=;.0'&~::""·''"~'""''"'}'))'::::~:~:;,:,._---=~~:~--~:~2~
~?'FIRJ))_~~!G!ITN

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2 the sum msurecl, as mayo?
3 at 12 o'clock, noon, to tha

).?to the prope

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y specified, EXCEPT as heremafter provided, from

or Damage,_not

exceed~g

th~t//~-/!..L'.. ~C:c.(/;2___ day of___ _____ --~/ ..I..Z .. LC _ ____________ _186 _(a __ __

.A.t:Z:_ _-_-,__;_ _

..... f/. ..
oL ........ Z ...L ... ./. ...:<...C. _________________________ Eighteen Hundred and.r.::Z .
-.?._::/.:..?c.. L <l.. _ ___ __ .. at 12 o'clock, noon, to be paid
4 within sixty days after due notice and satisfactory proofs of the same; it bein,. ovenanted as conditions of this contract, that thio3 Company may repair, restore or r:: lace the prop8rty lost or dainaged, on giving notice of such intentiou,
within thirty days after receipt of proof herein required, anti that this C9fn ny shall not be liable for loss by theft at or after a fire, nor for loss caused by invasi , insurrection, riot, ci'Vil commotion, military or usurped power; nor
6 for loss caused by explosions of any kind unless fire ensues, and then fo1: e loss or damage by fire or lightning only, nor for loss or damage caused by removal of property from a building, where there is no loss by fire, unless such
7 removal was necessary to preserve the property, in which case the dan age shall bo borne by both parties, in proportion as the whole sum insured JJears to the whole value of the property insured; nor for loss or damage ca.used by
neglect to use all practicable means to save and preserve the property from damage at and after the fire; nor for loss or damage to property of any other party, unless the interest of such party i~ stated in this policy; and there can
9 be no abandonment to the Company of the property insured. The assured shall not recover or demand of this Company any greater portion of the loss or damage than the amount hereby insured shall bear to the whole sum in·
10 sured on said property. The Company may at auy time cancel tllis Policy, returning the unexpired premium pro rata, and the assured may cancel by paying customary short rates for the expired time.
11
If the assured, in the written or verbal application for insurance, rnakes any false or erroneous representation material to the risk, or if there is any neglect or deviation from the laws or police regulations, made to prevent accidents
12 from fire; or if the premises insured are held upon lease or are upon leased ground, or the interest of the assured is not one of absolute ownership, and the nature of the interest is not clearly defined in writing hereon; or if there
13 is any attempt on part of the assured to defraud this Company; or, if the title of the property is transferred or changed; or if, without written consent hereon, there is any prior or subsequent insurance, or the Policy is assigned, or
14 the risk is increased by any means within the control of the assured; then, and in every such case, this Policy shall be void.
15
Permission is giTen to use for lights, Gas, Kerosene or Coal Oil, or Burning Fluid.
16
All persons having a claim under this Policy shall proceed at once to put the property saved in the best order possible, separating the damaged from the undamaged, a.nd shall give immediate written notice to the agent and render a particular
17 account thereof, with au affidavit, stating the time, origin and circumstances of the fire ; the occupancy of the building insured or containing the property insured; the whole value and ownership of the property ineured; the amount
18 of the loss or damage upon each article; other insurance, if any, and a copy of all Policies ; if required, shall produce books of account and other proper vouchers, and be examined under oath touching all questions relating to the claim,
19 and shall subscribe to the same: and until such proofs (duly attested by affidavit of claimant, and also by affidavit of two disinterested and respectable men, who are are acquainted with the premises insured and the claimant, and by
20 certificate of nearest magistrate, that the statements are true,) are rendered, the loss shall not become payable; in no case shall the claim be for a greater sum than the actual damage or cash value at the time of the fire; assignors, unless
21 the assignee. owns the property, must prove claims to be valid; if differences of opinion should arise between the parties hereto, as to the amount of loss or damage upon property partially damaged, the subject shall be referred to two
22 disinterested and competent men, each party to select one, (and in case of disagreement, they to select a third,) who shall, under oath, ascertain, estimate and appraise such partial loss or damage upon each article separately; and
23 their award, in writing, shall be binding on the parties hereto, each party paying one·half the expense of reference.
24
This Policy does not entitle the holder to participate in the profits of the Company, unless otherwise endorsed hereon in writing.
25
It is exiJressly covenanted by the parties hereto, that no suit or action against the Company for the recovery of any claim under or by vir tue of this Policy, shall be sustained in any court of law or chancery, unless commenced
26 within the term of one year next after any claim shall occur; and in case such 'suit or actton shall be commenced against the Company after the end of one year next after such loss or damage shall have occurred, the lapse of time
27 shall be taken and admitted as conclusive evidence against the validity of the claim thereby attempted to be enforced, any statute of limitations to the contrary notwithstanding.
28
N. B.-Books of Account, Securities for Money, Evidences of Debt, Notes, Bullion, Bills, Watches, Plate, Furniture, Money, Jewels, Jewelry, Precious Stones, Medals, Paintings, Engravings, Patterns, Casts, Models, Sculptures,
29 Statuary, Curiosities, Musical or Scientific Instruments, are not insured, unless particularly mentioned in the Policy.
30
If a note is given for the premium, or any portion thereof, and ::;aid note is not paid at maturity, according to its terms, this Policy shall be void so long as the same remains unpaid, unless payment has been duly extended by
31 consent of this Company.
32
No contract for Insurance shall bo binding until the actual payment of the premium bas been made.
33
This Policy is made and accepted upon the above express conditions, but shall not be valid until countersigned by EDWIN HILLYER, the duly authorized State Agent of the Company, at WAUPUN, WISCONSIN.

In Witness WheTeof,

THE SECURITY INSURANCE COMPANY have caused these presents to be signed by their President, and attested by their Secretary, in the City of New York.

ATTESTED.

~~·ct~)~~
Counte<>igned ' '

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Secretary.

__ this. _

J

.

__ day of...."....

/ /

.

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President.

..

186~

.. ............... Agent .

THE SECURITY INSURANCE COMPANY
OF THE CITY OF NEW YORK.

CASH CAPITAL, ONE MILLION DOLLARS.
Insures against loss or damage by FIRE, and the dangers of OCEAN and INLAND NAVIGATION
and TRANSPORTATION. upon terms as favorable as the nature ofthe risk w-ill permit.
THOS, W. BIRDSALL, President,
EVERETT CLAPP, Vice President.

R. L. HAY DOCK, Secretary.

DIRECTORS:

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JOHN ALLEN ............. ........ ........... ......... Formerly Hopkins, Allen & Co.
GEORGE H. BEYER, ............................. ................. ...... ..Flour Merchant.
HENRY BARROW ... .......... ......................... ..... ... of Henry Barrow & Co.
RICHARD P. BRUF'F .... ................... .............. ........ Hardware Merchant.
WM. ALLEN BU'fLER, ................... .. .... .. ... of Barney, Butler & Parsons.
ROBERT BOWNE ........... ............................. ...................... of Bowne & Co.
SAMUEL D BABCOCK, ............ ................... .... .... of Babcock Bros. & Co.
THOMAS W. BIRDSALL ............. ....... .... .................................. President.
ROBERT L . CASE ............ : .......... President Security Life Insurance Co.
EDWARD CROMWELL, ....................................... CommisSion Merchant.
EDWIN W. CORLIES,........................ .......... .... ... of John Caswell & Co.
DANIEL CROMWELL, JR., ................................. .. .of Tn&g & Cromwell.
WILLIAM DENNISTOUN ......... .......... ....................... Retired Merchant.
ANTHONY P. FRANCIA',.'............... ............................. of Giro & Francia.
GEORGE B. GRINNELL, .......................... ... .!ate Mo~ton, Grmnell & Co.
WILL IAM GRAYDON, ............................... .!ate Wilham Graydon & Co.
JOHN W. GRAYDON ............ .................... late Graydon, SwanwlCk & Co.
EDWARD HAIGHT, .................. President Bank of the Commonwealth.

-i

WILLIAM H. HUSSEY, ...... ............ .... ......... ....... Commission Merchant.
JOHN HALSEY, ................................. .................. of Haight, Halsey & Co.
JOSEPH LA WRENCE, ........................ President United States Trust Co.
EDWARD MERRITT, .. ................................... of Haviland, Merritt & Co.
JOHN C. MARTIN__,;··· ·············· ................................. of Martin & Lawson.
ROBERT LINDLEx MURRAY, ........... ............. of Murray & DaviS Bros.
ROBERT B. MINTURN, JR., ......................... of Grinnell, Minturn & Co.
THOMAS J. OWEN, ................. .............. ...... .............. of Owen & Carnegie.
JONATHAN ODELL, ........................ .. ....... of Odells & Barnes, Bankers.
WILLIAM PAXSON, ....................................... of S.C. Paxson's Son & Co.
EVERETT CLAP:t,.................... ..................... ..... .... .... .... .... Vice President.
SAMUEL T. VAL-"'NTINE, ................ ........... ........ ofS. Valentine&Sons.
JOSEPH W ALKER, ................................... ...... ...... ........... .... Ex-President.
JOHN R. WILLIS, ............................. ...... ......... of Cornel]_, Willis & Carey.
LUTHER B. WYMAN, .............................. ... of Charles .ti. Marshall & Co.
EDWARD WOOD..:······· ····················· ....... .................. ... of Merritt & Wood.
JOHN T. WILLE·1.§,... ... ... ....... ....................... ...... ..............of Willets & Co.
FRANCIS T. WALKER, ............... .. .. .... ....... ....... .... of F. T. Walker & Bro.

----------------~----~--------

i

THE WESTERN FIRE BRANCH

ffo

Of this Company, located at Chicago, In., affords unequalled facilities for the prompt adjustment and pay·
ment of claims, w-ithout reference in any case to the New- York office.
It thus presents all the advantages
of a Local Insurance Company, w-ith the superiority of a much larger cash capital.

PARTICULAR ATTENTION IS GIVEN TO THE INSURANCE OF BUILDINGS, DWELLINGS AND CONTENTS, MERCHANDISE, RENTS AND LEASES.

J . R. PAYSON, General Agent,
Office, South side of the Court House Square, in Smith & Nixon's Building, Chicago, Ill.

~ This Policy is not assignable for purposes of collateral security, but in all such cases it is to be made ' ' Payable in case of loss, to"
etc., by endorsement on its face. In case of actual sale or transfer of title, leave being previously obtained, the form subjoined may be used,
which must be executed at the time of said transfer.

THE SECURITY INSURANCE COMPANY
of

hereby consent that the interest

.............. .................... .......................... ....................................................................... in the w-ithin Policy, subject i;o all the terms and

conditions therein mentioned and referred to , be assigned to ...

.................................................................................... 186

...................................................................................................................... Agent.
hereby transfer, assign and set over unto
and

assigns, all

title and interest in this Policy, and all advantage to be derived therefrom,

subject to all the terms and conditions therein mentioned and referred to .
Witness

hand

and seal

this ............. .

............ day of .

. 186

Sealed and delivered in presence of

Insured.

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GENERAL ACCIDENTS.
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AGAIN'ST ACCIDENTAL LOSS

IJV' THE PRIJV'CIP.!LL SUJf' OF___
To be paid to ____

OF LIFE,

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_legal1·epresentatives, within

ninety days after sujficient proof that the Insured, at any time within the tmn ~f this Policy, 8ltall have sustainer.fo bodily
., i.nju1'ies qtf'ected through
VIOLENT AND ACClDENl'AL ~lEANS, within the intent and meaning of this contract and the conditions hereunto rmnexed, and such injuries shall ..,.
have occasioned death within ninety da!JS from the lwppeniny thereof; 01·, if the ln.mnd shall s11tla in bodil!J injw·ies by means as afO?·esaid whi.ch•
shall absolutely and totally disable and prm•e1d him ji·ondl~~. Jn·osec11(ion ~f any and ever!! kind of busi.ness, then, on sati~factor.'l proof of such
inju1·ies, he shall be ·indcmn'(fied against loss ~f time ·in a wm not ext·eedi n,!J--- ----- --- ----- --· ---~~------- .. ----- ... - . .. -- .. Dollm·s per week,
fo1· a period of conti.nuous totrd disabili.ly nA e:tf' crhng tu•e.nt?J-six consecutive 10eeks f1·om the i'i.me of the ac,·ident and injw·ies
afm·esaid.

..
.)

os

p~sions, ~onditi~ms,Iimitatjons

. f!grotrhletl nlWU:!J$,

That this Policy is issnecl and accepted snbject to all the
and exceptions herein contained
or referred to, and npon the c•xpress ngreelnl~nt that the statements and ch~clnrntwn s. of the Insured In Ins applicatiOn for 1"h1s msnrance are warranted to be true in
all re~pcc~s , anc~ that. said t=tpplic:ttiou, to;;rether with tlw Cmnpan~s ~las~iiication of _hnr.ards encl\ll'~cd hereon, are referred to . ::~1Cl made a part ot' this contract, and
that It tlns Po hey, or any renewal thereat, ha:-; been, or may be, ohtmned throng!~ Inlf!r<.'prescntntwn, fmud _or concealment, or If any ;:tttempt sha1l be made by false
swearing, or suppre13sion of :my material fact, on tllE' part of the Im:.nred, to obtmn any snm nuder tbis Policy, or any rcne,val thereof, then the same ~hall be ab~olntely Yoicl.
-

.
'l l
:ErOl)t(

.

-

C( ith\fll!J $, That this insnranee slmllnotextend to any injury of which ther<' shall he no visible sign, nor to any death or disability which m·1 ,
have. been cans.cd wholly or in part by bodily infirmities or disease exi~ting prior or snbseq!1ent t_o the date of thiH contra_ct., or by the taking of poi:3on, orbv a~J
~urg~cal ogeratiof~ or medical treatmen~. !"or di~c:~~s.e. And no ~laim shall be n_wclc under t_his Polley '_\'h.e~1 the _deat~t or mjnry may have been _caused by duelhvJ
tighttng or wrestung; or by over ex:e_rtwn, or hlt1ng, (except. In cases of pen_lo~ts necessity,) or hy ~mci9-c, (telmnons or ~>therw1~c, salH: or 1_nsane,) or by snll~
st1:o~~e. or by concef:lled wenpon~ earned by the In:-mrcd , or \~·hen the (!eath. or lDJury may luw_e happened 1n consequenc~ ot war, riOt or mvaswn, or of ridinrr or
dnv1ng race~,_ or of unnecessary exp_osnre to danger ?r penl, _or of vwlatwn of n:c rnle:-; oi .n.ny co_mp~ny o~ corporatiOn, or. when the death or injury may l~tve
hap_pencd while the Insured W<:ls~ or m consequence of his hasmg been, under the mtlueuc~~ ol mtoxtcatmg drmkB, or engaged 111 any unlawful act.

~YOlllUCd ~l\\tll~~~ That if the Insured shall travel or l1c '!eyoncl m· without the limit~ of travel herein~ft.er pre~cribed, withont first obtainIng frmn th1~ Company, or one of 1ts Agents, a :3Pl--'C.lfll permtt 111 wrltlng, an~l pay~ng _tlw e~tra pren~_unn ther<;Jt\lr.• then tins Pohcy shall be wholly void as to an accidents ?CCnrnng beyond such limits. Snid limits of travel are as follows , VIZ :, r11~c mhabitcd por_twns or Cl~'Ihzcrl . abode_~ of the States of the United States 1 in,.
east of the Rock:y 1\'Iountaiw~, the Territory of ~ehraska, the qanadas, Nont Scotl_a, ~ew ~rnHl:i\\'lCk, an~t~ Pnncc Edward [sland, ::nd c_oa.stwiRe, by regular linKs 01:·
passenger or 1n~ul conveyance, from port to port on the AtlantiC sea board or Gnli ot 1\fexiCo, uot e~ceemng three hundred nnd fitty miles frmn the point of de Jnrture, a;nd i.n no event !O ~nc.:luclc th~ voyage_ around CJpe.H.attcra~. witllout. e:p~ci~l permi_t. And. no mdemnfty ~hall. be pnid_for_Jo~s of time su·e.ta.ined while theiinstued Is without the hnnts a.foresmd: nor for any loss of tune by reason of ll1JtHlCS re~ciYed wlnle the In~nred 1~ Without smd lun1t.s.

_

~rOlli!lC(\ ~l\\!ll!J$, 'l'hat all •mne which may from time to time bt' paid hy way of compensation to the Inslll'ecl by virtue of this Policv shall
be accountPcl in c~iminution ~f the prindpal sum h~rehy insr1red, so that in _ca~c of snhseqncnt ~1enth or mjm:~"; dnripg th.e continuance of this Policy, tli~ total
am~nnt to ?c pmd. by the 8ald,Co_mpany ~hnllno~ 111 nny casf~ exceed the prmc1pnl smn_ lwreby 1~1sured_. Pt")h~ws wntten 1or n lonrrel' tenn than one year ·will be
~UbJect. to dtnunntwu of the prmc1pnl :-;nm, only for such amount.~ as may 11~1\"C neen paul <1~ com ~H'll)o(l.l\Wn dm·m,Q· the twelve moutlts previons to the death of the
Immrcd.

{iJ;Jtt~ }lOHCtl ,

at )larlison. W.'isconsin, for the term oL _.. _

meridian . on the ____ ..
expires at 12 o'clockmeridinno

~11_ da:,' of _$ _
the .. __~....

_

-~... -----~7~----=-: _____. ____ . _____~ommancingat 12 o'clock
_ _.

Sixty_.:z~ .. __ ancl
____ ., ____ ______ .. Eighteen Hnnclreil and Sixty __~c.('{,/~- r. ~-

_ ... E16{1tem Hnndred and

_

S

but shall not be \'a lid until the premium is actually paid.

All losses are pnyahle at the Company' R office~ in :Madison, and thiB Policy is f'mbject al~o to the fOllowing
l}OJV'DITIOo.J,,.S.··-1. The party insnrcd is required to nse all dnc dilig-ence for perso11al safety nnll protection and to give im1necliate notice to the
Company in the eYent of changing occupation, lH'Ofes~>ion or emplo:yment, to a 1nore hazardous exposnre, nuder the Company S classifications, than is named in the
application for this Po)i_CJ:. fl:lld .to pay_ :;nch ~clditionnl premium as n1:;y he _require1.l to cover sn~h (~ x t.ra h~r.~l·d: and fai_lnre tlH~reof shall r_ender this Policy void.
2. In the event ot mJm·tcs fol' which e1mmmay he made under t.lns Polley, the Insure(l, or, 111 cn~e of his death, lns legal representatives shall immediately
tl~ereafter _give noti.e~ in w riting, directed. t<:> the Comp,any at. ~aclison. Wi~ .. . stating the fnll !1ame, occnpa.t.!on_ :l:nd a!-lc1ress or t.h~ Insured, \\:ith full particulars
of the acc1rlent or 111_1nry; and. nnh·:-:.s sat.tstac..tory prouts of lhe. ~nme , nn~l ot the dcat}1 or dnrat.Jnn of total. dt~ah1ht~~ sw:~l be furmshed to the Company within
seven n1onths from the hnpprnmg ot s neh accH'i.C'nt., then all clmm~ accrnmg nnder th1~ Pollt~' :-:.hnll bC'. wm\·ed mul forfeued to the Company.
3. Any question as to the liability of the Company to p1y the :-:.nm insm·e(l hy thi~ Policy, ~hall, if the Cornpnny, or the Insured, or his le;ralrepresent.ativcs require it, be rdCrrcd to arbitmtion. And no ~nit or rn·oc<Jeding at lnw or iu equity sh::ll he hroHght to recover any snm hereby insured unless tl~e eame is commenced
within one yrar from the time the right of action nccrne~.
4. The lnsnred Rhall not he entit!C'd to eomp_enJ-<ation for dif'Hhling injnrieH beyond the amonnt of bi1-< ordinary wa_gcP., t:alary, or the money value of hiR
time r1nri~l~ the rzriod of continnon~ total di~:lhllit~· · HOt exceedi!lg' t\yenty-:o:i:-;: \\'!Wks n~ arorc:::.uid. And 1n _ea~n ?f other insnranCc ng:dnr::t di::::abling injnries,
e_ffected <;It her pnor or P._nbtwqnent. to the <lnt.e hen·oi , rhe In)o(m~e(l. sn:illin no CYent demand or 1:ccon~r nmler tin~ ~ohey or any rene\vfll thereof any greater propor~
hon of his act.tmlloss ot ~nth '"age~, :-:.-:alary, m· mo·.~;~y Yalnc ol lnr. tnnc. thnn the ~nm hereby 111ttnre(1 ~hall henr ro tlw whole nmou.nt of Hneh msnrance in force at
the time of thf' injury. ·
5. No compe.nsation shnll he paynhln nnder t.ld~ Policy nnlcss any Medical Afhi~N' uf the Company ~hall he allowed-to examine the ·person of the Insured in
respect to any nllPged injnry, wheu mHl so ot'tl•n as may be reasonahly rcqnircd on lwhalf of the Comprmy.
6. The ri~k taken l)y this C~mpany on. any one life h<limited to F!H~ 'l'lwusand Doll:lrt-< .. nnCt no secnnrl in~nrnnee ~hall hold goo(1 ns to the surplus insm·ed
above that amonnt nnlcss ~nch m:mrnnce 1~ appr·ovell nt the Home Office, nn(1 ~nch appi'nY:lll~ cndort-:ed hei't!OH.
7. If the Company shall so elect. lllb poHc.y mny be c:mceled nt :wy nm~ b.\' refunding to tlll~ l n!"-un•(l the premium p~lhl hy him, lc;;:s ap 1·o rata part. thereof
for the time snhl policy has been in fore~!.
1

1

~ll ~\ritttt~~ ~\JltCt'eOf,

the NORTHWESTERN ACCIDENT INSURANCE COMPANY Ita-; c:lllscrl these pl·t•.scnts to he :'ignccl by

its Pre~ident, :u.1d nttef-:.tec1 hy HI"' Secre,t;_n·~· , aml de1in•retl _n}tl~l' Home OtlieP . inthjft'rY OF J\L\ lH ~ o~l :11111 t'tnt~~ of \Vi~co11s·in; lmt the ~nme shnll not he valid ~

unlc~s cnnnters-Jgned h~' the Company s agent nt.- - ----~~-~ ----· -- -~- ~ - -·

A

,yp;~ /
~ ',Wa
/a tYYA
"- /l

7

Conntcrsigncd nt

~~-,,

CZUh

~~

!l:i' __

~ ~{Q ~-\[~
/"'\

((-~__/

s-~

[_1{, ....
Vh:;.
.,_ rlayof. ... ..

cjj.A. -g~'S6/

.... _ A;ent.

~No

Revenue Stamp n.•quiret1 by ln.w.

-·

~Mu~

PREFERP.ED-$5

JJel"

I

1 -==::-:.=~=

Classification Referred to in the Policy.
$1,003.

Policy holder:, insul'ecl under the Preferr ed class "·ill not be entitled to reco ver for injuries received in any employment or by
any ex:posnre either mot·e hazardous in itself', or clas~ified hy thiS
Company as mot·a hazardous, than the occnpation8 named in the

Nl!llll.'lrlli'WIUII:ll\lN

•

~rrident !tt~ttranct

'

I

cla~s :
Actuary, At·tist, pain tel", Attorney, lawyer, Auditor, Ar ut.r or Nn,,ry officers, (not
in service,) Author, writer, Dank otiL:er or Clerk, Bookkeeper, accountant, nookseller, Broker, in mercllandi;w, ~tacks, or gold, Clct·gyman, minister, Ulerk, (generally,) Clothier, Commisqion Merchant, Dress l\f<1ker, Dmught,smau, i'.lilliner,
Editor, reporter, Express Agent, (no t on trains,) General Trader, storekeeper,
Grocer, (wholesale,) Hotel Keeper, proprietor, I nsurance Officer;:; and Clerks, (not
t raveling), Lithographer, (not working) Manufacturer, (not working), Musician,
Physician, 'iurgeon, Po,tm!t.;;ter, P . 0. Clerk, President or Secretary of Corpora tion, Puhlisher, Phonographer, Tailor, Teacher, Schoolmaster, •relegraph Operator, Ticket Agent, Watchmaker.

Preferred

COMPANY,

ORDINARY-$1.50 per $1,000,
Ptlrsons insured under Ordinary rate::; will not recoYer for lutzard:5 classified as 1\f edinm, l'Iazardou~, or Extra ll:17.:trdo u.;;, bnt
this rate will cover all risks of the Pi'cle1·red clasR:
Act-or, Actresa, Ale or Beer l\!anufaeturer, Architect, builder , Armorer, Apot.hec:lry, druggist, Artificial Limb Maker, B aggage :Ma.<;ter at. Station, Ha.kcr, Darber,
Basket Maker, Brick :r~r ake r,Bell Hanger,Boa t Builder, llook J~inder, lloot :tntl Shoe
llaker, Box aud T r unk ).faker, B ra;;s Poli"her, rini,;he r, llrcHYcr, 13:\ilder, Cahiuet
Maker, Cap ot· Curpet Bag Maker, Car Builder , Clc:mcr or Hep:tircr, Carpet w·ca.Yer, Carver, wood and iYory, Ulmir ~fakct·, Chemist aud Drng,gist, Chief Engineer,
Civil Engim'ei·, Clerk on Rh•et· Steamboat, Clock Mnker, Uoach Maker, Cotfee
House Keeper, Collector on Cars, Commercial Agent., Conductor on Passenger
Train,., Confectioner, Cook, (professional), Cvpper->mith , Copperr)late Printer,
Ciliropodi;:;t, .Cornice Moulder, Cotton Packet· and Prc~scr, Cotton Dp.•r, Cott.1ln
Printer, Cow-keeper, milk seller, Currier, Custom House Otftccr, Cutler, Dcnti;-:t.,
Dye Eugran:or, Mould malwr, Distiller, rectifier, Drug Grindct', Eating House
Keeper, Emho;;;;ct·, Embroiderer, J<~ngineer of Stationary Engine, Farmer, OIYner,
];"arm Laborer, Freight Agent at Station , Frcight Laborcr,l<'iie Maker, l<'i,;h Curer,
Fish and Oyster Dealer, Funicr, Gardener, Gas l<'ittcr, Gas ·works, s~nicJ,
Gauger, General Trader, (tr:n·eliug) Glazier, Glover, Gold Beater, Gold or Sih'er
Refiner and 1\Torker, Grain Measurer, Grave Digger, Grocer (retailj, Gunsmith,
Harness Maker, Ha.tanrl Cap Maker, Hollow "~are Maker, Hoop Maker, Hotel or
Tavern Keeper (coun try), House Decor::.t.or, I ndia Rubber Manufactory, employe
in, I nk Maker, Instrument Case Maker, Japanuer, Jeweler, worker, Leather Dyer,
Laborer, common, Locks mith, Locomotive Superintendent, Looking Gla;;s :Maker,
.Machinist., Marble Mason, :Marble Cutter,ilfedical Stud ent, ~lanufacturer, geuemlIr, working, Mail Agent, (traveling) ~Ltrkctma n , i\Ia-; ter ?.Jccha.nic, .Metal Refiner,
1\Hller, grain and flour, Nail Maker, Na1'al Architect, Nurseryman (working), Operator in Cotton or ·woolen Mill, Organ Bu ilder, Oyster Oealer, Pa.cl.:er of Hay,
Cotton, Po;·k, Beef, P acking Case Maker, (n ot using circular saw;, Paiatet·, hon;;e,
ornamental, Paper Hanger, Pa11er Box :Maker, P astry Cook, Pn.vior, Pawnbroker,
Peddlel', Pe:l.Cil Maker, Picture Fram~ Maker, Pla.'ltercr, Pl:ttcr, Plumbct•, Porter,
Prcssmltll, Printer, compositDr, Pump .Maker, Rectilicr, Saddler, Sail ].iakcr, Saloon Keeper, Sausage Maker , Sexton, Scourer, dyer, Segar Maker, Ship llroker,
a.ll;Cilt, Ship Builder, coutract01·, Ship Inspector, Shovel Maker, Sih·cJ·smith, ~pin­
die Maii:er, Spring Maker, Statiouman, Steel Pen Maker, Ste.r cotypcr, Htew:trU on
River Steamer, (low pres;;ure) Stone Cutter fl.Hcl Dresser, Surgical In.,trument
Maker, Stn·veyor, Superintendent, (railroad) •runner, '!'inman, tinker, 'rrark Laborer, Traffic Master, H.. R .,\Tra.vcling Agent, Type Fonnder, Uu!lncl!a Maker,
Upholst.crer, '\V~.rchofiseman IV\tehman, '\Vea\'Cr, 'Vcighcr, gauger, '\Yeighinf,;
:Macb.iue, Sc:J.le )fake(, Wha tng\r 1 '\rheelwright, Whip Ma.lwr, White:Hnith 1 Wig
).laker, ·wire i\fa.ker, ·wood De1tler.

OJ!'

MADISON,

WISCONSIN.

Coil P IT.!lL

$300,000.

.
j

MEDIU>I-$10 per $1,0"0.

The 1\fediun1 rates will cover allt.he. hazards classified us. Orclinary or Pce.ferretl, bnt will not prot.P-ct the policy holder when expos~
eel to risks Hazardous or Extra Hazardun~ in thenu:eh·c~ or rated
a~ t:nch under the c1aR:;;:iflcation:

A~ricultnr:1l Implement :Maker, llag-ga):(e 'Haster on Trains, Barber on Steu.mhon.t,
Bar Keeper, Blo.cksmith, workin g, Blast Furnace, worlmu;u in, Bloclr, Oar uttd:'l!ai~t
) [nlwr, Bolt Malrer 1 Bruss Founder, working, Bricklayer, Broker in C:tttlc mul
Horses, Butcher, Button ~taker, Duiler Maker, Captuin on River Steamer, Cur Driver, Carman, drnyman , Carpenter and J oi ner, Caulker, ship, Coachm3n, Chemist
(m:tnu!'Jtdurer), CanalBontmau, Coal H eaver, Conductor on .l<'p!igh't 'rrain, Cooper,
Cork Cutter, D ri~r of Expr(ss Wagon, (cities,) DroYer, Cattli?ealrr, F.t11ploye on
Construction Train;;, other than enfiineers, brakemen, &r:., En:;i[!ier .OI\River Steam-

j;f~t~~dr~·:e~~~~~~:pi~e.ssG~~:;\JJ~\\~·~~t,inilo~~~~~~§!'eV:;~~~Cb~r~!~,H~~]~tfe~a~(;Jif~!,

In.'ltnunent Maker, J,aborer, wharf, warehouse, grain elevator, L end Pipe aud Tn he
).lak~r, L i;;ht.house, Lightship Keeper, Li.(!htnillg ~ods, om> who puts up, Livery, S~a
ble Keeper, Lumberman, manufacturer, Mason, bnekla\·•w, stone .,;etter, Mn.~ t' n! H~'.·
er Steamer, ~leta! Turner, Miner (sttrface), Moulder. "Naval Offirer in sen·ice, Oil
Deuler, ~etroleum, Operative in Saw and Planing Mills (not buzz sawyers), Pay-

c~~~~~~~to~~iR~~dnitfa~~~~:1 ~~ti~gK::H~r, ,;:~1!~~~~; ~~ :~~-~~~r,M~~;~r~~~nrr~:e Ri~:~~(~l~~

1

buzz sawyer,) Scythe and Sickle Maker, Ship Carpenter, Ship Smith, Slate Quarrier,
SoJa ,i~ ater Manufacturer, Stabie Keeper, StageDrh·er, Switchman, Sng:n_r Hetiuery,
workman in, Telegraph Huilder or Repnirer, 'l'oo l ?.faker, Thresher, Tram Starte r,
Truckman, Turpentine, Tar and Rosin Manufacturer, Vnmish Maker.

HAZARDOUS-$15per $1,000.

rr;dmouniJ $ ~~'

~· 1

fffaie __

~$JrJ~~

@!etm

of-12.cdtonfl0.

I

•

____ _
7'7,_ J--z}

07f.
•
Clfie'mium
__

The premium for Hazardon8 cbss will co'ffi all c1asses previ-

0~~1;~ ~~fl11~~~;~~~~~i~!;~?~r~~~~~~~·~~e~n~~e 1~;rt~~ait;!~~~~%~\~ler,

Canal

~~~~~;:f~:~?n~t~?~:ab~·alf~ftnke~· (~~~~~r~~~~~~!d~a£~8c~'L~~~:~~~ ~:J;i~~~~:~~:~:;~.e:~. ~i~~~i~~:

$lolifllj------ ___________

$

big.h pres~nrtJ, Engineer, mining, Fireman on L ot-.omotive_, Farrier, ~'tsherman,
Grmder of Edged Tools, Horse Shocr Ivory Cutter and '\Vorket·, L1gh terman ,

~~~g~ho1~1\~},~~~~~: ~u:[:~!rofrSbaiJinn~' '~~~~;no~ti S~e~~~~111e:~· t'tk~ ~~r~~~,0~1~~~

~feelumic, generally-coYering ~11 trades, Miner, (tindergrounrl), Ni_ghtmnn,,
~~:\~i~~~edr ~~~k~IJP0Rf~g~r~ks~~~~:~~:l~ ~~C\l~kre s~~v, s~!10s~e~~~~~rsh~eoa;i1~~~~,a~~~~~

:\Iaker1

!~~ef?t~h~~~~~~~~~a1t~~~1r~r~~~~e;~~~l~~~i. ~~:;:r~~:~y8 ~~~~~~I~,11 ~~.~~~~ 0{r~~~f~~~=

turer, Wood Carver and Turner, Yat·d Master, dtspatcher.

EXTRA HAZARDOUS-$20 pe: $1,00~

.

.

Extra Hazardous rate covers all risks agamst w h ich msurance IS
made in this Policy 1 except freight brakemen and po,vcler ~akers .
Buzz Sn.wyer, Circular Sawyer, Cartridge Maker, Common Sailor, F1reworks,
maker of, Horse Breaker, Rnftsman, Percussion Cap:Mal,er,Pyrotechnist.
fJ::? Freight ,Brakemen and Powder Makers\nre charged $25 per thousand.

rafe~Ti~ti~a~Y:t:scsul~a:h~c~ i~1~fc}~{~:~fync~tr~~~~~S:1~6 f~11lx~~:~;!0t~e:~cid~~t~i

inju ry, and governed by its rulings.

1~--======--====.:.
l W i iicon:~iu State Jotmu.l P rint, Mlldiilon.]

..

,

'

-·--- -----.----

'-

/

ASSETS O VE R

0

"orthwe 8

~~

-

$1 ,600,000 .

1@

~~

MUT UAL

-&F:Ji'I-G~

~-k..a-..£e.t> /Ff!O~.>

-

~IS C ONSIN.

l'•lif!J _.!JII.d!//.,/~ -;-

~nnua/ ~ole)

q£aii~ .J?P~enu"u
. r;'~
. &:....

§

_/

The --~-~------Premium of

.f2_

~ue at the office of the .Agent of this Company in

.

u~
~
------~~---------------- , before noon on the ___ ___~T_....__
day a/September, 1868.
@"

Jf... ..~.~.?.!.r!..:. . .. . . . ..

= = ;f. ... .... .

f~6£

$/_,j~-~n your LIFE POLICY, .N'o .. 4_6__.,3,_,l__,b

!l!fiate ..........

"

~

DEAR SIR:

:n ~ri!f:~:;:~~
iJU~·-'!7··· . ....../9~
= = = = =

1st,

----- -----------~

(/r

~moun0

Aug,

- ~_ oltlc~ --------- ___ _

Office, No- 416 Main St.,

· -

-

.

The Nortbwestern Mntnal Life Insurance Company,

LIFE INSURANCE COMPANY.
MIL~AUKEE,-

-&F

Prompt Payment is neccs8ary to keep the Policy in force.

Yours Respectfully,

l.r:ci!i. ........

A. W. K ELLOGG,

£./r~

C<.tslt Premi1<m,

$ .. L..:?.!:_~..£..

.

Secretary.

~------- ~7#-

Interest on .Not,8,

l ! ' ···· ············ ······ ·· ·················· ······ ·······

.f?Po/e;;,Y gee)

=

=

~0

= ;/

1otal Caslt,

Loan Note,

.

. .

No. -~---,

$ .. L6c.jl.£'

$.k_if~~
$.6' ~J..£.

.

Total Am't Loan Note.' at Interest,

(Please present this Notice at time of payment.)
[Ovet•.]

-<...
___/___ ___ __
(.

O F FICE.

<...
~

·

L-~-P--

f

4

Th9 Comp.t ny , from cou rtesy, sends , as r egularly as practicable
notwes of the clay the premium becomes due ; but is not responsible
for their not being sent or r eceived .
Nvt lnving r~caiva d n otice, is not, there for~, a valid. excuse for
failure toy ay the pr~ny.~m when due,

~

-·

/ t

~

~- ;·-~---·- -Agt.

/.aJr ---h:---4/....\,;._" ---~.. ..
7"

~ t:' /

/.- ' /c. ' r< .-r'r t ~t'
0

'\

'

- _/

4

.

'

-t:7~--~Lb;_ ___ f}~c }'..

· ~Q~
,-rc:-'-r-r _-·
,. . :
:.
.

--

~____ prmruse to pa;_y
/(;

f'

1

da!e,

for value_r;xeiJ;ed,

~ -:(r /~_/--

.f__p- .. .,. n ~~~ -~:: ---~~-- - ~""-- ",
_____, __+- .,.- ·-' ~
_ ~e ot ,(:/-,- -,.._ . ..:J'
1

({~ ~~-o
• c/,.

after

7

//,2 .

.. ..

n

n

n

nm

n

cfi!)

n

.

.~ ~~t !.:11::~

"

:

7:/~/Z?~ /.t:- /;:p/?/'u,.,. ~with interc

~: rtdo of ~~_;. _____ per cent pel' a-nnnr

t:::?~<> ·

~~ ~~ -

~~~~;>"
n·-((&~ :
'-

ASSETS OVER

0

$I ,600,000.

~oftl)n,e 8

~~

MUTUAL

IG~~

LIFE INSURANCE COMPANY.
Office, No· 416 Main St.,

MILW"AUKEE, - · - - W"ISCONSIN.

l?olif§ ~.£6'./d~ ..
~/

;\

\

f,(f'

~tlt'£0!~£HL&
PAte ljl~cfT
JSY

\

\

\

@n

~mownf;

= = = = =

~~~nua/ ~oleJ

...

=

=

Jf.. . . .~.tf.. (!{/..:..... . ..........

;f...........tf.r:c!{.. ..

~~ .,0'lumu;.~,l . . . . . .. ~;{[f! . .. ..

NOTICE TO AGENTS AND POLICY HOLDERS.
0 F .1' HE

'- , ,

,

~ort~luestern 'utnttl fife jnsurttntt ~ompttny.
______ , ______
---

The following is an extract. from a recent decision of Commissioner
National 'l'ax law : -

BoUTWELl,,

nndt-<r the

''If t.he Policy has expired by limitation, or non-fulfilment of the conditions on the part

of the Assured, renewal or l't'Yival of the Policy, in whatever form marle, will lw snhject t.o
St.a.mp 'L'nx."

~ft~}l

9/eeJ

!I

,f.O
UJHlt·r this decision, if the premium is not paid on <!1' before the day it. becomes due, the same

hecomes suhject t.o taxat.ion; on Polities of One Thousand. Dollars an<l under, 2ri rents; o11
Policit.·~ OYer Otw 'l'housand D\llhtrs, !)O cents.

'
- 1
Th9 Comp1ny, fl'Om conrtnsy, sends, as ragularly as practicable
notiCes of the day the premium bacom9s due ; but is not responsible
for their not being sent or received.
NJt hwing rdcaivad notica, is not,
failtuctoyay the pren~u'm when due.

)

therefor~,

a valid excuse for
,

' '\

rr i:l_E

C~eve~and

lJglllJtni[iil R,od Com1oany
---------· -----

-- -~- • --

-~--- -----

-~ielc:/ ,:;uat-anlee t/te jofd-.:zut;~ tur~!t~'JJJ ~-;~)
to

~<t.-

~ J{Uk;rY,.. QJ.~~~~ ~A:c'~

........ ........... .. . . .

-.Yuatcd ,;. the town

.j

....

:2J{;::;z;
~' J! ~Jg;~ · · · ·. · ·

j?d?n/. ...... .. . . .... .. . 0loaaly •/:;;:;

; ;

::,;,:::;,:f~~=::;,:~"!2l~'~~';;/~;l' to
n~ Jefy£~ . ~.~; f;c, .,,~,h~7;;oVED·· ,,~LECTRO·M~;~r~~:·coNDU~~s;o;;·· LIGHT;~i
=-gt;uf t/te oar;/ ~~~V\e1la~d\ Li:gh·tDliD,g

Rodl

\~O:ID!jp .a:n,y ju; lhci

a;;?NJ

to

jwy all

lhe cla-m a,Jc clone £;y ~~/,_fnt"n;t to lhe aiove clcocit!rc~:/ i.ut"t!t"r~o.

11 ""' '"llvs
Pr·r~,j\l,'ti'jiirl~ndJ
-~ttc ·; /L.f8.~
--/ .c/./P.Li2/?:f:....
u ~
~·.J,~J~ YJ 31.1\W~~<J
~~ .Jd
. . . . . ....
·

li-

Jau _......

unclct la/.:t7 /kat the oat;/ CfZomlucloi,j

wd c

dcclc~:/ on

am/ jttlcJ to oat;/ tnt"t:ft'n;?o===

a1'u/ okal/ at all le~neo i.e /.:ejd t~t Jarne coru!titt~n, accoic.!t;!t lo tftc e"nofiucft~no jot lhe
j uzjectjtioleclc~n of im"lcft"n,JoJ

mu/ lfte concftft:;_nJ o.j

£tJ!uaian lee1 a{/ cf wkt:::k aie

kd.eunlo annexed
~~d fl~~il:V~tlf,11 ~~n·~k~Jr 1 ~7hal lhe note, /1 any i.e ;tt~en} t;z jtaymenf joz 4at;!
C/?onducfo~ .Jftallje juu;l utkcn clue.
~~H1 ~~'0Vh1~tt ~~HH~~~ 1 fZ7Itat lhe oatd

. . . . . .. . . . . . . .. . ~ . . .J. . . !€la.f!:!:t!.~':Y~. ....... . .. . . . . . . . . . . . . . .o. fta/1 not1Y• t~

CLEVELAND LIGHTNING ROD COMPANY,

cf .fttrna.?e ty

jcjleen clay-> lhdeaflci-' at lha"t (l~~~e t;z /he fltty

Ut:itlt;;y, /he oat;/

lrjt.tn t~ lo o.acd i.atlc.!t"r':?o) utt"tht;t

of

3ke IJat;/ o/omfa ny ieoeivt~ ot;:;fy c.lrcyo. j;.om, elate

C'6feyelmu~ 9tate of (/)/,_t~·

of

notr.~eJ lo cuy;tot cou/ jtay

ouch dama,7e.

~~..... .... . . . . . . . . ...... . . ... . .... . ~Z .Ifl4~~·· · .fi;vccial ~gtJJt.
ftv a/8~
1

~~•

.
.........

~
~

,:::::t:::;
bJ)

.:::::11

:c...=>
~

C=>

•

-

>1-:z:

-:E

~

........

=
=
....==

......
c::::>

..._:::j

1..1..1
1..1.1

r:q

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tr1
8

bJ)
._.....

...,.__.

~

=

c:c

_.-t

c:::l::)

>c:::L':)

_.-t

c..::>

z::

......

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c:z::

a::

cz::
==»

~

•t

CONDITIONS .OF GUARANTEE.
''\

4··~ ""'\.

·.

't.

....-·.~... ~------·

;_,

1st~·~That

the Agent issuing this Guarantee has in no wise a uthority to guarantee any building

or buildings, or take any risk upon any property whatsoever: unless said building or buildings are
rodded with the Improved Electro-Magnetic Conductor, manufiwtured by this Company, and erected

hy their Agents.
2nd--In all cases, the Rods upon the building or buildings must he exclus'ively the hnproved
Electro-Magnetic, and in no case will this Company be held responsible where buildings are furnished
~n

part with any other kind of R.ocls.
3d- No person accepting this fi.uarantee shaH change or alter the position of any of the R.ocls

upon the buildings, so as to lesspn nr impai.r their protect.ivP power ; hut shall keep thPm in positioJJ
as erected.
4th-Guarantees issued by this Company may be transferred or assigued by th e person ac(:epting
the same, to another ; provided, that notice, in writing, be given the Cornpany within ten days of
the time of

~aiel

transfer.

5th- ·- Proper care must be taken by parties having Conductors upon their build ings, that no
Rod may h e broken, removed from the earth, or in any way damaged

RO

a.s to

i1~jure i tR

cont inuitv or

i n::4ula.t.ion .

-~>-<=-----<..;~---··-·

INSTRUCTIONS FOR THE ERECTION OF LIGHTNING CONDUCTORS.

--- -----

That Conductors for Lightning may be efficient to protect the buildings whereon they are erected, depend~ greatly upon the manner in
which it is done ; and the experience of more than a century in their use has demonstrated the necessity for the observance of certain rules,
without which there will be no certainty in the protection afforded. The attention of our patron~; is called to the following rules for putting
np work:
The attachments must b e carefully put in, so as to be permanent ; as far as practica ble, they should be screwed through into the studding or rafters of the building.
The Conductors should be made straight and true, wheth er perpendicular or hnrizou titl ; and all curves should be turned in a handsome
and graceful m;1nner, that the Ron may b e an ornament as well as a protection.
Caution must be observed that the Gl,;ss Insulators are not broken ; and that they are firmly enclosed by the attachment.
The placing of the attachments at too great a distance from each other should b e avoided- from three to four feet is the usual distance ;
but in all cases they should be so placed as to fasten the R od in a secure and substantial manner.
Points must be erected on the prominent parts of the bnilding, in accordanc~ .w ith the rule of protecting power, as laid down in the
Agricultural Report of the P a.tent Office, of 1859,. i. e., t he radius of prote?tion being equal to two hund,red p~r cent. of the elevation. Owing
to the increased danger to chimneys !rom ascendmg currents of h eated au, the Hods should, as far as practicable, b e at.t.aehed to, or plac"c1
near them.
A very important matter, and one which people most frequ en tly overlook, is the discharging termini of Conductors. TheRe must h av.e
a contact of from 6 to 15 feet with perman ent moisture.. To terminate a l~od in a foot or two of dry,, non-conducting earth, so limits its dischara ina capacity as to greatly interfere with, if n ot to t ot.tlly d e,; troy its protective power. 'fhe p erfect protecting power of our Circuit
Conductor is owing to the double t ermination, through which the h eaviest discharge of electricity will b e p assecl hfl,rmleRsly into the earth :
and no Lightning Rod will be a perfect protection, unless erected in su ch manner.
The connection of all the points upon the roof of a building, according to F ranklin's theory, with ample discharging termini in the
earth, as h erein specified, is deemed by the Comp;my indispensable to p erfect protection in case of a powerful stroke of lightning; thus
erected, our Rod becomes a Circuit Conductor of the greatest p ower and utility. Fully satisfied of the efficiency of this manner of protection, the Company absolutely enjoin the observan ce of these directions, if p erfect security would b e enjoyed, and indemnity g uaranteed.
In order to guard, as far as possible, against the injury to which points are .subject from h eavy winds, a standard must, in every case,
b e firmly erected where there is no chimney in the proper place to which the p oint can be attach ed in a sufficiently subst,mtial m anner.
:From four to five feet is the greatest h eight to which a point should b e elevated above the upper attachment in the stan d••rd or chimn ey. A point elevated more than this distance will b e liable to bend by the force of a hurrican e, and will need frequent atten tion to keep it
in order.
In er ecting a Circuit Conductor, the directions to b e followed, in conn ection with the nbove. in Ol'cl er to give p erfect protection to buildings, are :- Not more than five points are to be attach ed to the s!\me main or Circuit Rod, whieb is, in each case, to have at least two discharging termini in the earth.
In no case should Conductors t erminate in a cistern, or connect in any manner with gas or water pipes ; and a trench should b e du.C{
away from the foundation walls of the building, at least four feet in length, in which the Rod etln be carried to a safe distance from the wall
b efc>re b eing inserte<1 to a proper depth in the earth.

.>

•

·.

•

THE SALEM :MUTUAL FIRE INSURANCE COMPANY,
Of the To·wn of Salem, County'of Kenosha, State of Wisconsin.

~u t~is !Jnlic!l of ~u.sm:ance

jot a7zc/ r?t cond£detatron, ofJif.o0 jot
.

I _)

j)

~!J. ·····~-~{;.1.7..1./ .......(:........... /.J.. ': .~ .'?

:S!PaLic!J- atld an uncledak.in!J e:r.r;culed
.l. ... ...C"-. ....... ,.... : ........ .
of 11wd 3awn, fa the ~arnjwng, ILeailfl!J euen. date wdil tlull jwlLC!J- 1 ragt.e.eLn.!J ta fta!:f- hL!J. ftt.a
t.aia 11hate. af all ..!EaJJe.i at @amagell tlwt 11hall lwjLjlen b.g_ !?fiite at ..!Ei!Jhtning. ta the fttaftet..fg.
of' an!J- memiLet of' llaid /iamjwn!J, that mag_ !t.e inJ.uted in. Jaid #amJz-an!:f- accat..din.!J fa the ftt..a1 "

/

~awfwng, da INSURE ..... /.L./.:.1.!. ..~ /-·····!..~: ...... .
. ...J/-) .?:/'.h!.. z. .-~ . .. .... .................af 11aid !!fawn, flawzt!J at J?tate, Against LOSS or DAMAGE by
Fire or Lightning, ta the arnawzt af .... .J./~//..... .. JllalLatJ, an the faLLowing Jltaftet..l!J fat. the
--.!?fet.m af' FIVE YEARS ftam date :

uillianll)af the #aniitdutian and Q}.y-lawJ af J.aid

Dwelling House, ..... .~ ................................•..............••.. $ ..

'

7} (1f:(l_,,

Perwl al Property there~n ......... . ..... ; ., ............ . . 1 .... ........ $ . . :;. ~ . L

. /1. !~4. .. /r.u . f. t:f. n . ( ."'.

(. !:.

:1f1

4-./(1, (.d f.z:( ....... •$ .. f.(i.
r
I'
Personal Properly therein ........•............••...............•...... $ ...., A?.

Barn 1.9.v.tl. /.

.Granary, ............ . ...........• ,, .. • ..... . , .. . ... .. .... , .. , .. ,, ..•...•• $ ... ,,.,.
Personal Property therein ........ .. . . .............•••.......•...•......$ ....•...
:Shed ...•.. , .. . . . ••.•....... , .. . . ,., •. .• .•.. , .........••••• , •• .. •..•••.•• $ ....... .
rersonal Ptopcrty therein ...•. • ..........................•.•...•.•... $ ....•..•
Sf a'lJle. . . . . . . . . . .... .. ................................... .. ............... $ .•.. . ...

Personal Property therein .. • . . .. . .. .. ...•....••.•...•....••.•..•.••.• $ ....... .

I Tog Pen., ................. . ............••.. , ..•.... , ... , ...• , ... , , . , . $ ....... .
Personal Property 'l'herein .................•.•.•...........••••••.... $ ....... .

IJay in .Stack ........... . ... . ...... , .... . ...... , ........................ .. . ....... $ .. .. .... .
Grain in Stack ............... . ... . ... . ..................................•....... $ .......•
Stoek on the P remi ses .... . ...... . . . . . .. . ............ . .... . ........ .. ....... . ........ .$ .••...•.

Zc(7. ""'1 ~ ._

',

'lotal,

@a ted tluA... } / ...dG.IJ af' ...

.( tG. :r~./A.;;

.1;: ./ 1.:.

i .I. J. .~.U "7·. . ...... . . :fl.

~. ://~ ......... 9ectelai!:f-·

'''·

...

Jl..! .f. ./..
I

f..{

1 (! ? -{>'" Lt

$ .~.'\, .• , /}

@. 18'f t1

.J. ..C. ....J./ .1../1.. f .... SPt e!J.ident.

ll\EXOSJL\ UNIUN tiTE.Ul l'mNn~ti llurt:'r:.

~h~

Jatem - ttftt al fire attd Jig hfnittg ) us nratt ~~

I

~ omp att~,

OF THE TOWN OF SALEM, COUNTY OF KENOSHA, STATE OF WISCONSIN,.
--------~~·~-----------

cg)fll ~hi~
mf r!f' ~iDli~llf
oY
~ ()~
r ~1fl4Uf(l!Jfii~e
r!f'

0(?

u

0(5J

For and in consideration of $r.5o for Policy and an undertaking executed

. . .............£.. .... .J... . . . ctt~. . . . . . . ... . . . . . . . . .... , of said

Town, to the Company, bearing even date with

this Policy, agreeing to pay his pro rata share of all Losses or Damages that shall happen by Fire or Lightning to the
property of any member of said Company that may he insured in said Company, according to the provisions of the
Constitution and By-Laws of said Company, do INSURE .................
of said Town, County and State AGAINST LOSS

OR

/.f J;............~~-~---·····
1.. ......

DAMAGE

BY

FIRE

OR

LIGHTNING, to the amount

of ............................................ :;7~~-~~----~~-~ ..

Lu./.... .................. . ...................................... . .

DOLLARs,

on the following property for the term of FIVE YEARS from nate :

$ - ~.£?.. ..&...

DWELLING HOUSE

$ ...~.u.P. .

Personal Property therein

d.:4.d..... . .li.:y;/.~- . . .cPuL/....Cd:n~ . . ~-~d.............................

$ .. 3'~.t? .................... .

BARN ......

Personal Property therein .......................................................................................................................................... $ ...[;..'.:!./. .::-...

.................

G RANARY
P ersonal Property therein

. ..................... .:l---!::v.!. a2~·-····/.=f.~d....... ........................................................................................... $ .. / tta............. .
. . . .... .. ........ d.da.&i.. . . . . . . t2::P.1.......... .........~/.&L-:244A~-d4--····· ······················ ................................... $ ......71~. . ......................
$

$

Total

Dated t his...

.........Q. ..

y ............... day of....................a~~
~-d74.. . . . . . . . ...............,

~
;/ A
.................. .
~~~~ ... ··············. . ....

~

~~

. . . ........ . ... . .....,
L ~~~

A. D. r88

SECRETARY.

/)/ /

!

.;___..2.U

. .YI./."1.t. .. . .......

.:J. . Y..tlr:!...................

fo:.-

!.,/../
. 1.... ·· .

..
. .... .. , PHESIDENT.

~...

''

#, :7 1Jc/t~~
/~~d+JU f'~'7

§d,- ~ ~f- l~rry

!J'~'I~

" "

IYd

tll~ /2 &~~ ~l

KENOSHA COURIER

Joe

PRINT .

T'he Sal ern Nlutual Fire and Lightning Insurance Cornpany,
'
OF THE TOWN OF SALEM,
COUNTY OF KENOSHA, STATE OF WISCONSIN.

-------·-·-----······--1}17 fl1is Jlolic!l of lfnsutanc~
For and in consideration of $r.so for Policy and an undertaking executed by

'1i· it!. ...

of said Town, to the Company, bearing even date with

this Policy, agreeing to pay his pro rata share of all Losses or Damages that shall happen by Fire or Ligbtning to the
property of any member of said Company that may be insured in said Company, according to the provisions of the

it.,.......X..!..ic.z.:?:... :?:.~.....,.........................................................

Constitution and By-Laws of said Company, do INSURE ...................
of said Town, County and State, AGAINST LOSS

.1'3:s ..i./~

'!!..t.. e:-.rtj .

OR

DA1>.1AGE

Izr"!.;ttJ~

BY

FIRE

... .

oR

. .. ................

LIGHTNING, to the amount of
p

p

. .

.......

.

..

. . . . . . . . . . . . . . . . .... . . .

DoLLARs,

on the following property for the term of FIVE YEARS from date :

.... -· ......................... ------- ..................... ---·-······· ............ --------------------------------- $....!~!!}!.. ...~------------

DWELLING
Personal Proper Ty tr.e1en.

. . .. . ...... ...

BARN _/····'~.<-l .. ~.----9'{!':.<:Jl.n.. :.... e·_
&2: ..::<........ ~..

...

p

...

p

....

• ............. .

. ................ ............. ..... .. p

..............

-:cff::............Q./f.4__ ~4_~....................................................

$ ........: $..f :f._____?;;: ____ ..........

$ ........ 6.~~!.. ..'::. ..................

Personal Property therein .......................................................................................................................................... $ ........ ~.-.2..~.= .. -~...........

~

. ..... . !...~'¥1.

.Ck1&.-:t...

. ..

W....=r. ..L .e,

......... ..............

......

.

..........................

p.p'""''''""'''

Personal Property therein...... .................. . . .. .. .................... ...................................... ........ ........ ...................................

...........................................................1../.c...e...?..........

r.c:?::\ ..........

IJH. ?::-=.:k~d. .........................

p

..................................................................

=. . . . ,. ,
p

. . . . ..

$ ......../.{(..e-....

$.......// £....~....................
$ __ _} -s· ......::............. _

$--·
........................................................................................................................................................................................................................._ $ ............................................ ..
.................................................. $............................................ .
$ ..... ,,{..8:{/.!.(. ....~-=------···--·

Total
Dated this ........

............................ ........ .Y1

k ....... ff: ............. day

z . .f..'. ...

!!:..J": .(

......

of.. .. .

d...-4J.. ,t-2:~~-., ..4:.= ................................., A.

7!- .f.J . . ............... ............. ..... , SECRETARY.

D., x88 'J .

j

I

POitl(jY OF INSURAN(jE
-ISSUED TO-

. ~.. Y. .!:3/1:~=~····· ······························
Dated

d.-<£. . . .~....................... r88 1 .

Expires th·e years from date. at 12 o'clock, noon.

.

.{

-----~----

•

--~~

---

-

-.. .-

~~~~-~~~~~-----~--~-----~~~~~~~~~-~-~--~
~'!~

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:~: Olcl Settle1cs' Gltl19 of
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01(Qatliv,c;(l
-~1

:}.Yt.,.
'1~

A/~

f/ 0.

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~·t.

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T1l<::01.(pON1te(l

';]J~
~'!'~

189.~.

~

' ' 'l", , ..._.,,<4\.,,,,
'"' ·''' 'f- --:or-' ;,~~-~,·
"'·, .•,_1 ..,·!,;.~"'(~~-..
"" '~~·' ""'..,·f·""""'
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$Fni£ (Jerti/Jcate Of (§tocJr in THE OLD SETTLERS' CLUB OF ~\g.~'~
~~; KENOSHA COUNJ Y, of tl_1e par valne of Five D / llars, is issued this ... 2 _~
~;
I

-

~ft..

~!,..

IJ

..),!~

/

~lf day of.J./ .. :~.t\.-: .. ~::'.k .........
";;0~

~t~
~b

~If

~~
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':1'1~
"~

,J

, l 892, to ... ./..' ~:"'.--:?.&

J. ,

1 • ...:.,...

.: .......... •..-:-::. u L.. .. .~.

, .

~/.1-.

and entitles the holder to one vote at all meetings of the Club. It is transferable
if the parties thereto, the number of this Certificate, and date of transfer are
recorded on the ARsodation's book by the Sectetary or corresponding officer.

-

·I
,I

~~f .... ~.~ -~......................... .-'!.... .... .'.:..... _.........President.

.

--..fi

/~.· ..... ./ . ~ ..r
..,.,.,t..

A"•

/J
~

. :.... ~". ' ./.. "'.~/::. Secrdaru.
/ I f'

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.. ~If

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~~~~
~b

~lr

:¢:~~~
'll~
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~lf

¥..),!~ ..),!~..),!~.),I~~~~..),!~ ol,!t.o ..),!!,.. ~~~·~!t-..),1~
I
¥
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~I~=ii~=ii~~I~~·~~·~~·~~IMI~~I~I~~I~":iiRI~~.~ 'lt~"'lt\' i1t\'~I~~I~~tRI~~I~~i~~I~~I~~IRI~~i~~~i~~i~~i~~i~~i~~l\'"~I~~i\"~i~~i~~{\~

..._

ASSIGNMENT
FOR VALUE RECEIVED and pursuant to
order of the court I hereby assign all right,
title and interest in the within estate to
Arthur Bushing, individually.
Dated this 31st day of May, 1"944·

~.~

As administrator of ooe estate
of Willard T. Culver, deceased.

1

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Antioch News Print.

'f'h€ 8al€m Mutual fir€ ~ Gightning Insuranc€ Go·mpany,
•··.

.,
OF THE TOWN OF SALEM, COUNTY OF KENOSHA, STATE OF WISCONSIN.
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of saul foll'll, to fhf'

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eornpany, benrinf:/ even dute tcith this Policy, rt._!jreein;:;: to paylt~ JH'O-rrrtu sluu·e of' oll

Losses

07'

Lig)dnin~f

Dmnng·es that shall /wp1Jen lJ!J Fil'e m·

to fire tn·olH'I'f!J ofmtJ! lttembel'

oj'snid Company that lllflf/ lJe lttstn·Nl i11 :mid ('miiJHIIIJ/, ru·r·orrlitt!;/ to the tn·m·isio!ls of
flte

Constitution and Btt-Lmrs oj'.wdrl

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-$+

of' snid Tow11, ( 'orud!J o1rd State

Against Loss or Damage by Fire or Lightning,

tnthe nmmmtnj'

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Vollurs,

On the following Property for the term of FIVE YEARS from date:

'1~· /~

JJTI 'ELLI.?I,'G HOUSE.

Personal Pro'jf_'ill tlm·e~.

~$·

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OF INSURANCE

In

'fh€ Sal€m 1\'\.utual

Fire and Lightning
lnsuranc€

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Gompany,
Fnr $'

Dofed A u • ..
E.xpires

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•. .. . .........

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At 12 n'dnrk, noon.

n

with interest at the rate of
cent per annum from matu.
placed in the handq or an att~ey for collection, or suit is broug
shall be added to the same as collection fees. '!'he drawers and
payment of this note.

~

0 _______________________

Due________________________________

lc\.

Oakland,

-} 5?!--~

N~b.,~

11/vt>/

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190_f_

after date I promise to pay
or order

·~ t.Lrv-rvv-~v1/Vl,.<-cG

#S

of

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D 'OLLARS

value received, payable at THE FIRST NATIONAL BANK, Oakland , Nebraska, with in'terest a t the rate

. . per cent per annum f1·om date; ten per cent from maturity, payable . . . ... . . . .. .. . annu<tll.f.

The makers, endor,;e1·s and guamntor·s of this noto sever·ally waive pr·esentment for payment, demand and notice of
non-payment, protest and notice of protest, an d con~Pnt that th e t ime of payment m ay be extended fr·om ti me to time
without notiCe thereof.

Due------------------------No.--------=--INDlDPENDE~T

PRlNTI OAKLAND, YEB,

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with interest at the rate of
JJ'r cent per annum from
placed in the hands of an att~ey for collection. or suit is broug~
shall be added to the same as collection fees. 'l'he drawers and
payment of this note.

P. 0~---------------------Due________________________________

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Form 50

STATEMENT OF ACCOUNT

JU l 7- jt13

In case of errm· please ret11rn statffilent and c"Mcks at once.
We appreciate yo11r b11siness and solicit a continuance of same.

Oakland, X ebr., .....................................................19 L .......

Dr..........fir:..lc. ..Cu.L/....p................................. In Account with

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®ra:bmtiing 'lfrxcrcis.es
Jlfri!ta:~ 'lJifnmitt.S, 2llffa:~ 21, a:t 8:00

~ltttuttl
~tJmmeucemeul

Invocation
Rev. H. L. Sawyer
Song of Spring ................ , ...... Pear son
School Chorus
Introduction
Supt. C. E. Fawcett

~aJtin~ (!Jlltlli:Utl!

!fPJt~11t11t!

11t£ ~!1~iJtuUu~~

Address
Prof. W. A. Ganfield

aullt ~lltl:U~!sdiJt ~JtlltUlltl:U~

Presentation of Diplomas
Mr. C. C. Gittings
Recessional. ...... ........... K ipling-DeK oven
School Chorus
Benediction

~41e~e.ale~? ~i:!Sfe41~~.aiu
~arg

2tt.. :U, UH~

aromnt£ttt£m£nt (!lourcrl
W:~ursb<tJl J\f:tmtntl:tt, (~Jll{a:tl 20,

m 2:30

Jro.gram
Piano Duet-Funeral March ....... . ..... Chopin
Ethel Graham, Loraine Schaub
Waltz in E Flat Major .......... . . .. ... .. Chopin
Mandy Halverson

(!]:lass ·~a\! ~xcrtiscs
W:frur!l~a-g zti£rcu~.g,

2IDta-g ZO, at S:OO

Jtficlli ~cct au~ ~rqool ~cuuiou
gtfri~a-g,

2IDta-g Z1, 1915

Jro.gram
The Happy Farmer ...... . ..... . Robert Schumann
Double Quartet

PICNIC DINNER-12:00 o'clock

The Management of a Bearing Orchard
John McGuire

FIELD MEET

Nocturne, Op. 9, No. 2 ................. .. Chopin
Jeanette Ela

Vocal Duet-! Would that MyLove .. Mendelssohn
Bessie MacKenzie, Cathrine Wallis

1:30

100 Yard Dash-Boys

1:40

50 Yard Dash-Girls

Waltz inC Sharp Minor . . ......... . .... . . Chopin
Harriet Hardie

The Selection and Care of Seed Corn
Arthur Spillum

1:45

High Jump

1:55

Broad Jump

Polonaise in A Major . . . .. .... . .. . ... ... . . Chopin
Raymond Sawyer

Loch Lomond . .. . .... . ..... . ......... Old Scotch
Double Quartet

2:00

Three Legged Race

2:10

Tennis

The Miller's Wooing. , .......... Fanning-Spicker
Girls' Glee Club
Abenlied ........... . .... . ...... . .. .. .. Carl Bohm
Bessie MacKenzie
Will-o' -thE>-Wisp.. .. . . . ... . .. . . . . • .. .. . . . . Jensen
Jeanette Ela
Scarf Dance .. . . ... ... . . . . .. . .. ...... . Chaminade
Harriet Hardie

Six Cups of Chocolate .. From German, by Mathews
Ad aline von Lindau . . . .. . Mariam Brown
Marion Lee......... .. . Ruth Christensen
Dorothy Green . .. ......... . Edna Potter
Hester Beacon .. .. ...... Phil a Mackenzie
Beatrix van Korlandt . . Mildred Greeley
Jeannette Durand . . ... . . Chrystal Dixon
Polonaise in A Major ............ .... . . . .. Chopin
Raymond Sawyer

To a Wild Rose
}
From an Indian Lodge . ... . . ...•... . MacDowell
To a Water Lily
Raymond Sawyer

Class Prophecy .. . .. . .... .. .......... ... .
William Wallace

June . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tschaikowsky
Ethel Graham

Class Will ... .. . ... ... . .. ... . .... . . . ... .
Elmer Rose

Barcarolle. . . . . . . . . . . . . . . . . . . . . .... . Rubinstein
Loraine Schaub

Song of the Pedlar . ..... . . . .... . . C. L. Williams
Double Quar tet

3:00

Basket Ball-Boys

3:15

Basket Ball-Girls

3:30

Basket Ball-Boys

3:45

Basket Ball-Girls

4:00

Tennis

4:00

Base Ball

Special Prize given _by Edwards & Mealy

Banquet-6:00 p. m.
Congregational Church
Graduating Exercises-8:00 p. m.
Agricultural School

·'

D
'' t Was. glad r»hen thep $/lid unto me,
Ld- Itt!, go, into, the_ house 9;f the-Lord. ''
•' ~he church of the li"ing God, the
pi/l-qr anti gunmd of the truth.''

Central
Pres~yterian Chu.,rcb
Sl:XIf:ENTH and IRVING STREETS; N.W.

WASHINGTON, D. C.

PaStOr. fh:v.-JAMES H. TA'I'LQR

1464 Newtul) Street, N.W.

Pa_stot--'Emedtus, -J~;-v;_ A. W. Pn:?ER
Salem, Va.
Pastot i'p_-,-Ghina, RE.v. J. LEIGHTON StUAl!.T
Nanking, China.
Mlssion:u:y' i.O. ·arazil, _Mas. '))•. <;. ARM$TRONG
Born Suc~;esso, Brazil.
Mis_s:ioniry -hf the_ ~ountains, REv. F. E. Ct..Af!:K
• Grundy, Va.
Cl~f,Ji.jjf the S~~Wil. St·.U>t:N M: Et..r50S Str.eet. N.W.
S_U;peihlt.l:lP.4ents' p~ S®day School..,J~t<~Es. TI(IMBLE

1814 Lamont Street.
RoY W. -P_IHNCE:
3172_l?.igbteenth'Street, N.W.
Treasurer, R. -p,, Ci.AK!!.
1509 RhOOe Island AVenue, N. W.
Tr~surer·of Beilfi:6cenc;;-es, H. M. Cooru
1662 Irvin'g Street,_ N.W.
S!:!i#on. GF.Q._ G.. T!,I~NE~
13.34 W Street ~LW.

,)

WEEK BEGINNING MAY 2, 191 S

SUNDAY, MAY 2.
9.30 a.m.- Sunday School.
11.00 a .m.-Morning service.
Sermon by Rev. J. Leighton Stuart, vf Nanking, China.
4.30 p.m.-Y. W. C. A. vesper service at 619 Fourteenth street.
7.00 p.m.-Christian Endeavor Society.
8 00 p.m.-Evening service.
Sermon by the Pastor.
A WRONG ATTITUDE TO TRUTH. "'And some said, What will
this babbler say? other some, He Eeemeth to be a setter
forth of strange gods: because he preached unto them
Jesus and the resurrection."' Acts 17:18.

MONDAY, MAY 3.
2.30 p.m.-Meeting of the Ladies' Aid.
7.30 p.m.- Monthly meeting of the Board of Deacons.

TUESDAY, MAY 4.
8.00 p.m.- Organ recital under the auspices of the Young Women's
Missionary Society.

THURSDAY, MAY 6.
10.30 a.m.- Meetir.g of the Board of Lady Managers at the Presbyterian Home, 1420 M street N.W.
8.00 p.m.- Business meeting of the congregation.

FRIDAY, MAY 7.
8 00 p.m .. - Christian Endeavnr social.

ORGAN RECITAL.-At the organ recital, to be given by Mr. Oscar Franklin
Comstock, F.A.G.O., Tuesday. May 4, at 8 p.m., an offering will be received
for the missionary school at Born Successo, Brazil.
C. E. SoCIAL.--Note anrl rtserve the date for the C. E. social, Friday,
May 7, at 8 p.m.
WoMEN's BIBLE CLASS meets Sunday at 9.50 a.m. in the auditorium.
VISITORS.-We cordially welcome visitors and request that they unite
with the congregation in c,bserving the custom of remaining quietly in their
places a few moments after the benediction. The Pastor will be glad to
meet you in the vestibule; kindly introduce yourselves to him.
ENVELOPE DISTRIBUliON.-If any of our friends or members have been
omitted in the distribution of envelopes for the current year, they should
notify the Deacons, who will promptly supply them. With each carton is a
pledge card, which should be filled out and returned immediately.

MANUAL TRAINING 1IIGII SCHOOLS.

The course of study iR the Manual Training High SchOols, has been de·
signed to meet the needs of those -pupils whO \'i,esire, to e11_ter scientific and
technical pursuits upo~- graduation from the high school and also to give com~ .
plete preparation to those who wi,~~ to enter the engine~ring eol~eges.
Candidates for ·diPlomas inuet 'complet~ satisfaCtOrily the required' Work· iiJ.
all subjects. Four major_ subj_~e·t_Ei:"_must be· carried ea<ih semester. FivS·h~urS
of· prepared wnrk·per week c:Qnst~tutes·· a ·major subject. Two 'ht:rcttr.Cof·U:fiprepared work is cOunted as the equivalent of one hour o-f prepared work. ·,
The preseribef1 studies which are:·required of all pupils are shown ·in . the
column on the oppOsite page headeq ·''Prescribed.', I:11 Summ~y. the~_ a-re ~s
follows:

4 years of English or 3 of English _and o-ne ··of Civics apd Economics.
2 years o£

Mathe~aties.

1 year eaCh o-.f two. of the sciences, Physics, Oh:eriii.atry aua::Biologjr.

SCHEDULE OF STUDIES.
Year
I

Routs
Pre.scribed
Per Week.
English
5
-Algebra
5'
2
F:reehand Pr.a:wing
Physical Training
2
. Wood _Shop or
-L.
Domestic Art
f
Mechanical D.rawing or ·)
2

'

Don:_1estic

Hours
Eleetive
Per Week.
Elect- Oite.
Gerinait
5- ·
F:rencb:
5
Elementary Science
5
, The election of a ;foreign language.
presupposes, its c_ontinuan~e
for at least two years.

~cie!lce,·

5

II English

~~~:l:~ia 0lCeoun.Ei · -.}

S·
2
2

Free Rand Drawing
Phy&ical Training

8 yelP's of Manu:al--Tnlin:in.g and Drawing.

~:~!t~:_A~·r--- v··

2 years of Physical Training;

Domestic Science

4

Mechamcal D.rawing or

~ ...,

f

2

Elect one.

G~rman
5
French
5
Physics
1Chemistry
7
·Biology
7
In · all the sciences: after the
fitst Year three hours will- be
devoted to- re-eitations and
four to laboratory work.

Not iuore than £oUr _s~~e:~t{lrs .wOrk_ in ·w_aj'Q~ -~anuaJ: tiiimb:l(f>;n~t:f))'~~
over and above the .amount -requir~d~-Will b.e· coU;nted.- to.wa;r(l gradu:;ttio-n~

Pupils-- who- intend. to-·_;:ui~~~ _-a --eollege·;_course shOuld xnake_. .th~ :'f~~-::.Jtno~­
to the: Principal- of the_- higli-.-sc?ool:- as soon:----as---p_ossible.- ----E~?e-tiv~-:·--~~bjeetir ·ija~
thett ·be chosen _to· meet the _'pec-ufiar·requiremellts- of_ -the c&nege selected;
·

Ele.et two.

III Engli-Sh--

Fr.eehan-il Drawing .or t.
-.Art. Metalf

MiW:h:.;it_i.e:-.$h9:P._ o:r

}

. ·" .Latm.

4

-.l?qcp+~a#~:-:·~D---;_ ..:.:-'.-~->}: __::< ,},
-~ec~'l')],~al:- _: .ra~g._- o_r.
--..4
Do-mes-tie..::Seiene~- _
Students p-rep~tri-ng for college
may ·divide ,:the-- raquired
shop wor-k and drawing
between the third and
fourth ·years in order to
take the reqtdre-U subjects
for- entrance.

IV- Ellglish O:r _
(_
5
Civics and Economics f
Students preparing for college
are advised to- elect English.

.,..
5
Gennall.
5
_;Ir:r:f:>-.nltb:
5
~ ~?ljfl, Gi>B!!'~!.q~ ~1\d Trlg.onom5
,. \ _etr_y-- <·History
5
Physics

7
7
1

··steam

Chemistry
Biology
Domestic Sc~..mee

7
7

~ _.8-hours-p.er week
.
Drawing--.
Domestic .Art_ -. two of. which
·
spa~l be pre~ _
pared work.

Shop

Elect three.
Latin
German

5

5
5
College- Alegebra a:nd Analyties 5
~feehanics
5
Fren·ch

:a:-1story
El':'ctricity
Chemistry
Biology
Domestic· Science
Shop
Drawing
Domestic Art

5
7
7
7
7

f &- hours per

week
two of ·which
shall be prepared work.

Two hours pe: week of umsic is ·opt_i~Jml in all four years, and will be given
credit toward graduati~n on the same baris as other unprepared :work. Musi~
as a .major_ subjec.t is also credited. in tho Manual T~aining SchO-ols.

\

.

COURSES OF STUDY

R. 1907-15.

10M. 8-27-14.

FORM TO BE FILLED OUT BY PARENT.

HIGH SCHOOLS

Parents will p~ease fill t ut and si~r.t the attached blank and send it to the
eighth grade teacher, who will forward it through the proper officer~ to the high
school selected.

WASHINGTON, D. C.

A selection at this time is not necessarily binding and maY be changed later
if the parent so dfsires.
La1t Name.
Middle Nam~.
Fir&t Nam~.

1914..-15
LOCATIONS OF BUILDINGS.

~on

I desire my daughter

••••••••·•-•••·•• " •- •••••••••••••• .. ••••••••oo ••••••-•••• .. ••••-•••-••••••••••••••••••• .. -·••--•- ••••••••••-·•-•• .. •••••

to attend the......•............................-······-·-··--··-······-··-··-··--·----····· ············-···-··-·-···········High Sahool
and take the elective subjects indicated below:

··-·-----·---·-----··--..·-··-·-

-·---···--..·---·-·-···-·-..----·-·-·-·-·--··-················-···-

_____ ________ ______
..

..

ACADEMIC HIGH SCHOOLS :
Central High School, 0 Street, between Sixth ani Saventh N. W.
Eastern High School, Seventh Street, between Pa. Ave. and C Street S. E.
Western High School, Thirty-fifth and T Streets N. W .
M Street High School, M Street, between First Street and N.J. Ave N . W.
BUSINESS HIGH SCHOOLS :
Business High !3chool, Ninth and R Streets N. W.
Phelps School, Vermont Avenue, betweenT and U Streets N. W .
MANUAL TRAINING HIGH SCHOOLS:

,

.......- .................- ...•

(Signed) _ ............- ..................................~........................................................
Par!!nt or Guardian.
Parents will please note that candidates for the academic high 1choola
must elect one language and history or science; candidates for the business high
schools must elect either bookkeeping or shorthand; candidates for the manual
training high schools must elect a language or science.

McKinley Manual Training School, Seventh Street and R. I. Ave. N . W.
Armstrong Manual Training School, P Street, between First and Third
Streets N . W.

TERMS OF ADMISSION.
Pupils in the eighth grades of the public schools of the District of Columbia
are admitted to the High Schools on the certificate of their eighth-grade
teachers.
Entrance examinations are given to pupils from other than the public
schools of the District of Columbia. Proficiency in each of the branches named
below is required.
Entrance examinations are held at the beginning of school in September of
each year. All candidates for entrance or advanced standing are requested to
confer with one of the members of the Board of Examiners at the Franklin
School, 13th and K sts. n. w., on Thursday, Friday, or Saturday of the week
preceding the opening of the public schoCls, between 9 a. m. and 12 m., and 2.30
and 4.30 p. m.

1k

Certificates from accredited schools may be accepted.

REQUIREMENTS . FOR ADMISSION TO FIRST-YEAR CLASS.
English Gra=ar aJ;J.d Composition.
tion.

,

Geography.

Arith,metic._

United StateJ History and Constitu-

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We the undersigned firmly believe that the Salem Methodist
Church should have a ne w electric or~an. Furthermore, in
evidence of our good faith we pledge to pay the amount opposite
our name hereinunder for the purchase of such.

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E . H. H3 rtnell
Lester Dix
Arthur Bushing
The or gan Committee

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or order

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for 77alue Received payable at the office of CUliL & HOl,INDRAKE, OAKT.AND, NEBRASKA,
with interest at the rate of ei'glti £vi
per cent per antzum from date and ten per cent per annwn afta maturity.
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The makers, sureties and endorsers of this note hereby waive presentment for payment, notice of non-payment, protest and notice nf protest of this
note and hereby consent to any extension ofthis note, without notice; and I, being a married woman, do execute this note with especial reference to, upon
tho jmth "'' """ of a.d with th< imoMon to """' my iodiWd~t JFOP'ffty foe "' JW~nm~~
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No.
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Oakland, Nebr.

~ /!1 4

192_A_

after date I promise to po y to
or order

~~~~~~====================

JJO.L.LARS
& HOtiNDRAKE, OAKT,AND, NEBRASKA,
per cent per annum from date and ten per cent per an-

z for Value Received payable at the office of CULL
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with interest at the rate of eight

:r: num afta maturity.
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The makers, sureties and endorsers of this note hereby waive presentment for payment, notice of non-payment, protest and notice nf protest of this
note and hereby consent to any extension of this note, without notice; and I, being a married woman, do execute this note with especial reference to, upon
the faith and credit of and with the intention to charge my individual property for its payment.

JJue
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No. _ ___ _ _ _ _
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after date I promise to PO!{ to
or order

-

JJO.L.LARS
for Va f::Received payable at the office of CULL & HOtiNDRAKE, OAKT,AND, NEBRASKA,
with interest at tlze rate of eig::lzt
per cent per annum from date and ten per cent per annum after maturity.

4

The makers, sureties and endorsers of this note hereby waive presentment for payment, notice of non-payment, protest and notice of protest of this
note and hereby consent to any extension of this note, without notice; and I, being a married/1 woy wn, do execute this noiJI, with eswcial reference to, upon
the faith and credit of and with the intention to charge my individual property for its payment

JJue

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_ _ _19_

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with interest at the rate of ei-glti -?. ·
per cent per annum from date and ten per cent per q,n-

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num aftrr maturity.

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The makers, sureties and endorsers of this note hereby waive presentment for payment, notiee of non-payment, protest and notiee af protest of this
note and hereby consent to any extension of this note, without notiee; and I, being a married woman, do exeeute this note with especial reference to, upon

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the faith and credit of and with the intention to charge my individual property for its payment.;/

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Ledper Pa_qe _ _ _ _ __

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after date I promise to pay to
or order

_--

DOLLARS

for T'alue Received payable at the office of CULL & HOI.JNDRAKE, OAKT.AND, NEBRASKA,
with interest at the rate of eiplzt 7
per cent per annum from date and ten per cent per an1
num aftrr maturity.

..J

0

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The makers, sureties and endorsers of this note hereby waive presentment for payment, notiee of non-payment, protest and notiee af protest of this
note and hereby consent to any extension of this note, without 1wtiee; and I, being a married woman, do exeeute this note with especial referenee to, upon
the faith and credit of and with the intention to eharge my individual property for its payment .

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after date I promise

to0::~d:~

Oakland, Nebr. L d._

- DOLLARS

the office of CULL & HOl.INDRAKE, OAKT.AND, NEBRASKA,
with interest at t!ze rate of eig:izt~per cent per annum from date and ten per cent per annum after maturity.

The makers, sureties and endorsers of this note hereby waiue presentment for payment, notiee of non-payment, protest and notiee af protest of this
note and hereby consent to any extension of this note, without notiee; and I, being a married
an, do exeeute this notg, with esllfcial referenee to, upon
the faith and eredit of and with the intention to eharge my individual property for its payment

Due
19 ___
No._ __
__ ___
Led.r;er Pape _ _ _ _ __

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z for 77alue Received payable at the ~e of CULL
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& HOJ...INDRAKE, OAKT.AND, NEBRASKA,

per cent per annum from date and ten per cent per an-

The makers, sureties and endorsers of this note hereby waive presentment for payment, notice of non-payment, protest and notice of protest of this
note and hereby consent to any extension of this note, without notice; and /, being a married woman, do execute this note with especial ref erence to, upon
the fai th and credit of and with the intention to charge my individual property for its payment . / )
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Due
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No._ __ _____ __ -----~1
Ledper Pa,qe_ ______

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Jfebr.~__j____ 19.f_jJ__
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-=-=-===
DOLLA RS
for T"alue Received payable at the office of CULL & HOI~INDRAKE, OAKT.AND, NEBRASKA,

with interest at the rate of tti1Ji!t .JM2
num af ter maturity.

=-=- =

per cent per annum from date and ten per cent per an-

The makers, sureties and endorsers of this note hereby waive presentment for payment, notice of non-payment, protest and notice of protest of this
note and hereby consent to any extension of this note, without notice; and I, being a married wopwn, do execut§ this note wj;t.h especial reference to, upon
the faith and credit of and with the intention to charge my individual property for its paymm:J'J

19__
No. ________ __________
LerJ.qer Pape

u Due

.

~- ') ~

Moneys have been received during the past year as follows:

$ ___ ___ __ ___ _

From
From
From
From
From ___ _

$ ___ ___ _____ _

From
Moneys have been expended during the past year as follows:
$ ___________ _

For
For
For
For
For
For

------------ $-----------Moneys on hand

$------------

The Town Board estimates that the following sums are necessary to meet expenses of the Town for the ensuing
year:
For Current Expenses ____________ ________ ____________ ----- __ _______ _______ ------·~_---------- $-- _---~--- __
For Support of the Poor ___ ____________ ____ _____ ___ __ ___ ____ _______________________________ _
For
For---For other Incidental Expenses ____ ______ ____________________________ ------------------ _____ __ _
Total,

-----------$------------

The Board would respectfully recommend that_ ___________ __ __ __ ___ _

"'~-----------~
;-,.;: ~~~---------- ----~~it~-- , ---------

t be correct.
ithin report o

1

reby codify the ahove and w
We " .
J_ ________ oL ___A,-Dated tb>R __.J.j_

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---

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---9---~--~
--~~ _),/~~~:;-Audit
Town Boar

---

NOTE.- Summary of Demands Investigated but not Audited, if any, should be attached to this Report.

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Glle Form 81i5.

REPORT OF' TOWN BOARD OF AUDIT.-Double Size.

T'HE UNDERSIGNED, Town Board of Audit of the Town oL __ _
County

oLJ~---------------, State of Wisconsin,

.~Lt:.OECKI:!t.

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CO M,....-,N Y1 Nf(:

S TATIO NERS ,

~LlWI•UK E'E

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fl.A.<.f:f~-~---------------, in the

respectfully /ubmit the following report, stat ing in

detail the items of account examined and audited, and the items of account disallowed, during the year ending on
the __ ____ __tjj_4___________ day
DATE OF
AUDIT.

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Form 31.

Assessment_ _______________

$_~_

Normal Tax _______________

N o. _____ _____ ___

$_,3__7L~-?

Educational Surtax _________ $ ___________ ___

IMPORT ANT ASSESSMENT NOTICE
Office of

ASSESSOR. OF INCOMES
County ___ _

....~ . N: ..:e:rJ-:-y~·~·····CV~ . ~....... !92y
------ ----

_____ Wisconsin.
The income 'tax re1:urn of

19~income which you were notified to file with the undersigned on or before March

1, 192_{, has not been received.

Notice is hereby given in accordance with sections 1087m-10 and 1087m-12 of the stat-

~________ has been made against you.

utes (income tax law), that a preliminary assessment of $ __

This amount

will be entered as the final assessment on the Income Tax Roll unless a return of income properly filled out and signed is received from you within ten days.

Your attention is called to the fact that the law does not permit the assessor of incomE's to make changes in the tax after
the roll is certified to the county clerk. If this notice is ignored the t ax above mentioned becomes absolutely final and collectible
the same as other t axes.

6---[;

: ~ ssessment amounts to $ ___ ;J__
L __ ~ ; the Educational Surt~x
a unts to$ __ ____ ______
::::0- .
.
and both will be payable next J anuary at the office of the t reasurer of the ___ z~The normal income tax on this

- - - -------------------------

____ __.__________ ________ ___ ______ _,Wisconsin.
NOTE.-It occasionally happens because of errors in the spelling of names, returns not signed, etc., that delinquent notices
are sent to parties who have made a report. Delinquent notices are also sometimes sent where parties have moved out of the
taxing district, and have not notified the assessor of incomes. In either of the above cases you will confer a favor by advising the
assessor of incomes at once of any change of address or error in the sending of the delinquent notice.

y~;:~ ·~
.t:/L.L. A"~'~
A fin al assessment m ade against you for failure or refusal to m ake a return of income will not relieve you from the following
prescribed
PENALTIES
For failure to correctly report income within the time and in the manner prescribed by law, the statute imposes:
1st: A fine not to exceed FIVE HUNDRED DOLLARS OR IMPRISONMENT NOT TO EXCEED ONE YEAR, OR
BOTH in the discretion of the court, together with t he costs of prosecut ion .
2nd : Any income received within the year and not repor ted by t he t axpayer , when discovered, is subject to a t ax at DOUBLE
THE OR IGINAL RATE .

-

2-

SHARES

I

AUTHORIZED CAPITAL 300,000 SHARES OF NO PAR VALUE
CLASS "A" COMMON STOt;K 200,000 SHARES

CI.ASS " B" COMMON !o\TOCK 100,000 SHARES

THIS CERTIFIES THAT~~~~W~._Vx·i.~Q~UuL~T~·~~~~~~~~~~~~~~
· the owner of
-=======~=~~~=~~~~~~~~~~~~~~fully

paid and non-assessabZe shares of t he
CLASJ$ "A" COMMON STOCK of .NATIONAL MONEY CORPOR ATION, of n o par vaZue, t1·an sferubZe
on the books of the Corporati on, by the hoZder hereof i n person or by duly authorized attorney , upon
surrender of this
":.iJ

The holders of
preferential dividends
entitled only to
of the Class ' 'A
to one, that is to
portionate amount
In the event
shall be entitled to
amount thereof
holders of Class "
Either
mined by the
case of any issue of
holders of the Class

aretl .fry the Board of Directors
ass ' ' A'' Common stock shall be
ring such year. T he holders
e basis of two and one-half
Common stock forty cen ts or a p ro. " B " Common stock
or p roportionate
distributed to the
may , if so detersubscription. In
shall accrue to the

I.H WITNESS

by its duly

authorized officers and its corporate seal to be h ereunto a.ffixed, at Chicajfo, Illino_i s, t his

20tb=-day

of

JANUARY

. D . I9J2=-

NOTICE: THI!: IIIGNATURI!: TO THIS ASSIGNMENT MUIIT COitlti!:IIPOf1 D WITH THill
NAME AS WRITTEN UPON THE FACE OF THE CERTII'ICATI!: I N EVERY IOARTICUI.AR,
WITHOUT ALTERATION OR ENI.ARGIEMENT OR ANY CHA.NGIE WHATIEVQ.

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1910

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M

FEBRUARY
T W T F

1 2
5 6 7 8 9
12 13 14 15 16
19 20 21 22 23
26 27 28

3
10
17
24

S
4
11
18
25

1939

MARCH

S

W
1
5 6 7 8
12 13 14 15
19 20 21 22
26 27 28 29
S

M

M

T

T

T
2

F
3
9 10
16 17
23 24
30 31

APRIL
W T

2 3 4 5
9 10 11 12
16 17 18 19
.... 24 25 26

S
4
11
18
25

M
1
7 8
14 15
21 22
28 29

T
2
9
16
23
30

S
1

S

T

S

MAY
W T

F

S

4
11
18
25

5
12
19
26

6
13
20
27

T
1
4 5 6 7 8
11 12 13 14 15
18 19 20 21 22
25 26 27 28 29

F
2
9
16
23
30

S
3
10
17
24

3
10
17
24
31

JUNE

F

6 7 8
13 14 15
20 21 22
27 28 29

M

W

1939

OF M I LWAUKEE , WISCONSIN
COMPlETE AND VOlUNTARY SECURITY RESTS ON THINGS DONE WHEN YOUNG.
T~E CURE FOR DEPENDENCE AT SIXTY MUST BE TAKEN IN THE THIRTIES.

, /;
CHAS. H.

c~..J F: -;· !S S. AG ENT
U.S. i~.P.'T'L. C. .i .• ~ E':.~YG.

PHO: ~~.:

6 €.2.1-IO:.:_:\'OSHA. W IS.

S

M

T

JULY
W T

S
1
2 3 4 5 6 7 8
9 10 11 12 13 14 15
16 17 18 19 20 21 22
25 26 27 28 29
AUGUST
T W T
1 2 3
6 7 8 9 10
13 14 15 16 17
20 21 22 23 24
27 28 29 .30 3 1

M

M
2
9
16
23
30

T
3
10 L
17 18
24 25
31

5
12
19
26

6
13
20
27

7
14
21
28

S

t.1

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.... ,.31
S

S
1
8
15
22
29

DEC:
F
4
11
18
25

S

5
12
19
26

T

3 14 5
10 11 u
17 18 19
25 2

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CHA·s. ·t~~ ·cuRrlss. orsr. AGr.

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503 U. S. NAT. BANI( &LOG.

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FOR 72 YEARS
THIS COMPANY HAS BEEN HIGHLY
REGARDED BY REASON OF ITS
EFFICIENCY OF OPERATION, WELL
DEVISED POLICY CONTRACTS
AND LOW NET COST.
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NORTHWESTERN MUTUAL UFE INS.

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F. R

C. F. C ODERE, PRESIDENT

sT

A.B . ..JACKSON 1 ASST.TO PRES.
0. J

KRUGER,

~

TREASURER

c H. KNOCHE, ASST. SECY .
L.W.KING,ASST.SECY.
5. J. MAC Ml NN 1 AssT. Se:cv.

CHA!~MAN

BIGELOW ,

p·..1-\.._UI

J.C.McKOWN, SECRETARY
C. A.DQSOALL,SECRETARY
M.D. PRICE, SECRETARY

A

•

H. T . DRAKE, .JR., SECRETARY

...J

R . H. BANCROFT,ASST. SECY. _... .

FIRE AND MARINE
INSURANCE COMPANY
INCORPORATED

1865

A. L. Cull, Agent
Oalclantl, Nebr.

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SALEM.

NO. ----'
- - -·- -·--- - .
TO THE

WIS., ~_%_

_19-fr--L--

TREASURER

Salem lYiutual Insttrranee Co.
p

AYTOTHE

ORDER OF

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17 LA__

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_00LbARS

~~~

Countersigned

President

' 1--r;;z:--~ ' Secretary

. (

.
·
NATIONAL FIRE INS. CO.
OF
HARTFORD
If not called for in Five D.ays Return to

ABRAHAM L. CULL, AGENT
OAKLAND, NEBRASKA

...

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MAP
OF

KENOSHA COUNTY
SHOWING SYSTEM

OF

STATE AND COUNTY
HIGHWAYS
·+<ftlllllfo+·

KENOSHA COUNTY
HIGHWAY COMMISSION

1929

KENOSHA tOUNil' Hithway System

/1t~I· KENOSHA tOU~
LEGEND

===it:==

STATE TRUNK HIGHWAYS........................
COUNTY TRUNK HIGHWAYS....................
OTHER PUBLIC HIGHWAYS
_JI____/L_
INTERSTATE HIGHWAYS ............................

~

PERMANENT PAVEMENT._······-········· ......
GRAVEL SURFACE

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